| Coastal Bend Oral & Facial Surgery, Pa | |
|
4210 Weber Rd Suite 1 Corpus Christi TX 78411-3665 | |
| (361) 814-3223 | |
| Not Available |
| Full Name | Coastal Bend Oral & Facial Surgery, Pa |
|---|---|
| Speciality | Dentist |
| Location | 4210 Weber Rd, Corpus Christi, Texas |
| Authorized Official Name and Position | Thomas Teenier (OWNER) |
| Authorized Official Contact | 3618143223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Bend Oral & Facial Surgery, Pa 4210 Weber Rd Suite 1 Corpus Christi TX 78411-3665 Ph: (361) 814-3223 | Coastal Bend Oral & Facial Surgery, Pa 4210 Weber Rd Suite 1 Corpus Christi TX 78411-3665 Ph: (361) 814-3223 |
| NPI Number | 1871800458 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 09/03/2010 |
| Medicare PECOS PAC ID | 5092991075 |
|---|---|
| Medicare Enrollment ID | O20110510000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871800458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Thomas Teenier |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1326055781 PECOS PAC ID: 2264618149 Enrollment ID: I20110510000365 |
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