Holly Psychiatric Clinic Pllc
LBN: Holly Psychiatric Clinic Pllc
Holly Psychiatric Clinic Pllc is an health care organization with primary practice located at 4444 Corona Dr Ste 150 , Corpus Christi TX 78411-4300. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Holly Psychiatric Clinic Pllc can be contacted via phone (361) 993-4835, or through Quintanilla, Mario A via phone (361) 993-4835.
Contact Information
Primary practice address
4444 Corona Dr Ste 150
Corpus Christi TX 78411-4300
Phone: (361) 993-4835
Fax: (361) 993-7043
Website:
Authorized official contact:
Name: Quintanilla, Mario A Doctor of Medicine (MD)
Phone: (361) 993-4835
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1518465079 |
|---|---|
| LBN Legal business name | Holly Psychiatric Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Quintanilla, Mario A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Mar 28th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518465079 | NPPES |
| Texas | MEDICAID | 451455601 | |
| Texas | Other | 2B0918 |
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