Healthcare Provider Details

I. General information

NPI: 1962212159
Provider Name (Legal Business Name): TORTUGA PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 SARATOGA BLVD STE 340
CORPUS CHRISTI TX
78414-4119
US

IV. Provider business mailing address

4101 S ALAMEDA ST
CORPUS CHRISTI TX
78411-1528
US

V. Phone/Fax

Practice location:
  • Phone: 541-212-3866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BETHANY VARGAS
Title or Position: PEDIATRICIAN/OWNER
Credential: DO
Phone: 541-212-3866