Provider Demographics
NPI:1720968175
Name:SOUTH TEXAS ENDOCRINOLOGY & METABOLISM CENTER, PLLC
Entity type:Organization
Organization Name:SOUTH TEXAS ENDOCRINOLOGY & METABOLISM CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:DO, FACE, DABOM
Authorized Official - Phone:361-584-0044
Mailing Address - Street 1:6110 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2455
Mailing Address - Country:US
Mailing Address - Phone:361-584-0044
Mailing Address - Fax:833-464-1725
Practice Address - Street 1:6110 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2455
Practice Address - Country:US
Practice Address - Phone:361-584-0044
Practice Address - Fax:833-464-1725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty