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13725 Northwest Boulevard Corpus Christi TX 78410-5127 | |
| (361) 761-1000 | |
| (361) 857-5960 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 13725 Northwest Boulevard, Corpus Christi, Texas |
| Authorized Official Name and Position | Chris Nicosia (CFO) |
| Authorized Official Contact | 3617611501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3315 South Alameda Corpus Christi TX 78411-1820 Ph: (361) 761-1000 | 13725 Northwest Boulevard Corpus Christi TX 78410-5127 Ph: (361) 761-1000 |
| NPI Number | 1043449143 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 11/03/2009 |
| Medicare PECOS PAC ID | 0446145569 |
|---|---|
| Medicare Enrollment ID | O20091002000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043449143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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