CRYSTAL CITY ISD NPI 1093188690

Clinic/Center (Student Health) in Crystal City, TX

NPI 1093188690 Organization Clinic/Center Student Health

About CRYSTAL CITY ISD

Crystal City Isd is a primary care provider established in Crystal City, Texas specializing in clinic/center (student health) . The NPI number of Crystal City Isd is 1093188690 and was assigned on November 2015. The practitioner's primary taxonomy code is 261QS1000X with license number AT5507 (TX). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Andres Rodriguez Jr. Lat (Athletic Trainer)

A primary care provider (PCP) like Crystal City Isd sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1093188690

Provider NameCRYSTAL CITY ISD
Provider Location Address805 E CROCKETT ST CRYSTAL CITY, TX 78839
Provider Mailing Address805 E CROCKETT ST CRYSTAL CITY, TX 78839
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-04-2015
Last Update Date11-04-2015


Primary Taxonomy

Taxonomy Code261QS1000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationStudent Health
License No.AT5507
License StateTX

Business Address

CRYSTAL CITY ISD
805 E CROCKETT ST
CRYSTAL CITY, TX
ZIP 78839
Phone: (830) 374-2341

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Mailing Address

CRYSTAL CITY ISD
805 E CROCKETT ST
CRYSTAL CITY, TX
ZIP 78839
Phone: (830) 374-2341



Authorized Official

Authorized Official NameMR. ANDRES RODRIGUEZ JR. LAT
Authorized Official TitleATHLETIC TRAINER
Authorized Official Phone(830) 374-2341

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336322569CRYSTAL CITY INDEPENDENT SCHOOL DISTRITCT
Organization
Local Education Agency (LEA)805 E CROCKETT ST
CRYSTAL CITY, TX 78839
(830) 374-8015
1669846549MS. REVAE RIVERA ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)805 E CROCKETT ST
CRYSTAL CITY, TX 78839
(830) 374-2341

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.