Healthcare Provider Details

I. General information

NPI: 1508810573
Provider Name (Legal Business Name): BAY AREA HEALTHCARE GROUP, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 S PADRE ISLAND DR
CORPUS CHRISTI TX
78412-4913
US

IV. Provider business mailing address

PO BOX 8991 3315 ALAMEDA
CORPUS CHRISTI TX
78468-8991
US

V. Phone/Fax

Practice location:
  • Phone: 361-761-1000
  • Fax: 361-857-5960
Mailing address:
  • Phone: 361-761-1000
  • Fax: 361-857-5960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHRIS NICOSIA
Title or Position: CFO
Credential:
Phone: 361-878-1101