MEDICARE: CORPUS CHRISTI PSYCHIATRIC SPECIALISTS, 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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1184009821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORPUS CHRISTI PSYCHIATRIC SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	2000 HEALTH PARK DR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4692
Country	:	US
Telephone Number	:	615-373-7406
Fax Number	:

Provider Business Practice Location Address
First Line	:	6629 WOOLDRIDGE RD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-2909
Country	:	US
Telephone Number	:	361-986-8200
Fax Number	:

Authorized Official
Title or Position	:	GROUP VICE PRESIDENT
Name	:	NICHOLAS WADLINGTON
Credential	:
Telephone Number	:	615-372-7332

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	11/21/2025

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