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NPI Code Detail

MEDICARE: WILCAP HEALTH SERVICES PLLC

MEDICARE: WILCAP HEALTH SERVICES PLLC
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
1363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11154256469OTHERTXNPI

General Provider Information

NPI Number : 1154256469
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILCAP HEALTH SERVICES PLLC
Provider Business Mailing Address
First Line : 2109 OSO BAY RANCH RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78418-8920
Country : US
Telephone Number : 361-208-6701
Fax Number : 361-292-1096
Provider Business Practice Location Address
First Line : 125 NORTHSHORE BLVD
Second Line :
City : PORTLAND
State : TX
Zip : 78374-4206
Country : US
Telephone Number : 361-208-6701
Fax Number : 361-292-1096
Authorized Official
Title or Position : OWNER
Name : JUAN MIGUEL CAPUPUS
Credential : NP
Telephone Number : 361-208-6701
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/21/2026

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