CORRIDOR PRIMARY CARE, PA
NPI 1124050836
Pediatrics in San Marcos, TX

Active since July 06, 2006CLIA Certified · 2 labs
601B LEAH AVE, SAN MARCOS, TX 78666(512) 392-1700(512) 396-8743 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Corridor Primary Care, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORRIDOR PRIMARY CARE, PA (NPI 1124050836) is a healthcare organization registered as a pediatrics in San Marcos, Texas and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Michelle M Comstock, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124050836
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCORRIDOR PRIMARY CARE, PA
Location Address601B LEAH AVESan Marcos, TX 78666-7849
Mailing Address601b Leah AveSan Marcos, TX 78666-7849 · (512) 392-1700 · Fax (512) 396-8743
Fax(512) 396-8743
Organization SubpartNo
Authorized OfficialMichelle M ComstockOffice Manager · (512) 392-1700
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1124050836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X
601B LEAH AVE, San Marcos, TX 78666

Other Identifiers 1

Medicaid111671701TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0964231

Corridor Primary Care · Kyle, TX
Active · expires Aug 19, 2027
CLIA Number45D0964231
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorMichael J. Grady
Laboratory Phone(512) 392-1700
Laboratory LocationCorridor Primary Care4221 Bennor Rd #205, Kyle, TX 78640
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0504327

Corridor Primary Care · San Marcos, TX
Active · expires Aug 31, 2026
CLIA Number45D0504327
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJeanne Flinn
Laboratory Phone(512) 396-1000
Laboratory LocationCorridor Primary Care601 Leah Ave, San Marcos, TX 78666
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
601B LEAH AVE
SAN MARCOS, TX 78666
Pediatrics
601B LEAH AVE
SAN MARCOS, TX 78666
Pediatrics
601B LEAH AVE
SAN MARCOS, TX 78666
Pediatrics
601B LEAH AVE, SUITE B
SAN MARCOS, TX 78666
Pediatrics
601B LEAH AVE
SAN MARCOS, TX 78666
Pediatrics
601B LEAH AVE
SAN MARCOS, TX 78666
Otolaryngology (Pediatric Otolaryngology)
601B LEAH AVE
SAN MARCOS, TX 78666
Nurse Practitioner (Pediatrics)
601B LEAH AVE
SAN MARCOS, TX 78666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124050836, enumerated as an "organization" on July 06, 2006.

The provider is located at 601B LEAH AVE SAN MARCOS, TX 78666 and the phone number is (512) 392-1700.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.