| |
1521 S Staples St Ste 803, Corpus Christi, TX 78404-3187 | |
(361) 882-9675 | |
(361) 882-9681 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 1521 S Staples St Ste 803, Corpus Christi, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790007813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC7355 (Texas) | Secondary |
208D00000X | General Practice | L8215 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
1521 S Staples St Ste 803, Corpus Christi, TX 78404-3187 Ph: (361) 882-9675 | 1521 S Staples St Ste 803, Corpus Christi, TX 78404-3187 Ph: (361) 882-9675 |