Healthcare Provider Details

I. General information

NPI: 1326783234
Provider Name (Legal Business Name): TBI DIAGNOSTICS CORPUS CHRISTI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MORGAN AVE STE 450
CORPUS CHRISTI TX
78405-1856
US

IV. Provider business mailing address

4900 N 10TH ST STE F1
MCALLEN TX
78504-2781
US

V. Phone/Fax

Practice location:
  • Phone: 361-356-2101
  • Fax:
Mailing address:
  • Phone: 956-668-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0301X
TaxonomyBrain Injury Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SONIA SALKINDER
Title or Position: OWNER
Credential:
Phone: 956-668-8282