MEDICARE: DRISCOLL CHILDRENS HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center
2	282NC2000X	Children's Hospital

General Provider Information

NPI Number	:	1124796081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRISCOLL CHILDRENS HOSPITAL

Provider Business Mailing Address
First Line	:	3533 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1721
Country	:	US
Telephone Number	:	361-694-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 MICHAELANGELO DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-1402
Country	:	US
Telephone Number	:	361-694-5000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	STEVEN KING
Credential	:
Telephone Number	:	361-694-5000

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	04/28/2026

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