Provider Demographics
NPI:1992153118
Name:SOUTH TEXAS CPAP
Entity type:Organization
Organization Name:SOUTH TEXAS CPAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPATORY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-765-1692
Mailing Address - Street 1:3765 S ALAMEDA ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1643
Mailing Address - Country:US
Mailing Address - Phone:361-446-8950
Mailing Address - Fax:
Practice Address - Street 1:3765 S ALAMEDA ST
Practice Address - Street 2:SUITE 402
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1643
Practice Address - Country:US
Practice Address - Phone:361-446-8950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60996332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies