| Innovative Care Partners Pllc | |
|
345 S Water St Corpus Christi TX 78401-2819 | |
| (361) 443-9013 | |
| Not Available |
| Full Name | Innovative Care Partners Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 345 S Water St, Corpus Christi, Texas |
| Authorized Official Name and Position | Arvind G Modak (PRESIDENT) |
| Authorized Official Contact | 3612440869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Care Partners Pllc 5914 Oso Pkwy Corpus Christi TX 78414-6037 Ph: (361) 244-0869 | Innovative Care Partners Pllc 345 S Water St Corpus Christi TX 78401-2819 Ph: (361) 443-9013 |
| NPI Number | 1467990838 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 04/07/2023 |
| Medicare PECOS PAC ID | 4880970623 |
|---|---|
| Medicare Enrollment ID | O20170411000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467990838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1397 (Texas) | Primary |
| Provider Name | Arvind G Modak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215975255 PECOS PAC ID: 3375556459 Enrollment ID: I20060712000149 |
| Provider Name | Telisha Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871152496 PECOS PAC ID: 7810042975 Enrollment ID: I20190826003148 |
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