| Corpus Christi Oral And Maxillofacial Surgeons Pc | |
|
5756 S Staples St F Corpus Christi TX 78413-3796 | |
| (361) 993-2290 | |
| (361) 992-4961 |
| Full Name | Corpus Christi Oral And Maxillofacial Surgeons Pc |
|---|---|
| Speciality | Dentist |
| Location | 5756 S Staples St F, Corpus Christi, Texas |
| Authorized Official Name and Position | Debra Hendricks (INSURANCE CLERK) |
| Authorized Official Contact | 3619932290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corpus Christi Oral And Maxillofacial Surgeons Pc 5756 S Staples St Corpus Christi TX 78413-3796 Ph: (361) 993-2290 | Corpus Christi Oral And Maxillofacial Surgeons Pc 5756 S Staples St F Corpus Christi TX 78413-3796 Ph: (361) 993-2290 |
| NPI Number | 1669416475 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 01/10/2013 |
| Medicare PECOS PAC ID | 4486899747 |
|---|---|
| Medicare Enrollment ID | O20130318000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669416475 | NPI | - | NPPES |
| 0811788-01 | Medicaid | TX | |
| G60013-1 | Other | TX | DELTA TX CHIPS |
| 0098105-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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