Provider Demographics
NPI:1396198180
Name:SOUTH TEXAS SPECIALIST PHYSICIANS, PLLC
Entity type:Organization
Organization Name:SOUTH TEXAS SPECIALIST PHYSICIANS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLLC MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUDHAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPINENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-882-3198
Mailing Address - Street 1:PO BOX 6844
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6844
Mailing Address - Country:US
Mailing Address - Phone:361-882-3198
Mailing Address - Fax:361-884-1912
Practice Address - Street 1:7101 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4913
Practice Address - Country:US
Practice Address - Phone:361-882-3198
Practice Address - Fax:361-884-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1999207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty