| South Coast Family Medicine Pllc | |
|
6182 Dunbarton Oak St Ste B Corpus Christi TX 78414-4276 | |
| (361) 452-9320 | |
| (361) 452-9321 |
| Full Name | South Coast Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6182 Dunbarton Oak St Ste B, Corpus Christi, Texas |
| Authorized Official Name and Position | Robert E Caro (OWNER) |
| Authorized Official Contact | 3614529320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Family Medicine Pllc Po Box 61160 Corpus Christi TX 78466-1160 Ph: (361) 452-9320 | South Coast Family Medicine Pllc 6182 Dunbarton Oak St Ste B Corpus Christi TX 78414-4276 Ph: (361) 452-9320 |
| NPI Number | 1346593654 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 12/11/2019 |
| Medicare PECOS PAC ID | 3072758507 |
|---|---|
| Medicare Enrollment ID | O20130403000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346593654 | NPI | - | NPPES |
| 272184 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert E Caro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316944903 PECOS PAC ID: 4880658426 Enrollment ID: I20041115000383 |
| Provider Name | Rafael F Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336160852 PECOS PAC ID: 6305864315 Enrollment ID: I20051108001010 |
| Provider Name | Amanda Rose Caro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548589815 PECOS PAC ID: 9234262346 Enrollment ID: I20100726000871 |
| Provider Name | Flavia Olivia Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063072700 PECOS PAC ID: 2365779261 Enrollment ID: I20190815002023 |
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