| |
5350 S Staples, Suite 318, Corpus Christi, TX 78411 | |
(361) 992-1060 | |
(361) 993-5347 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5350 S Staples, Corpus Christi, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922021096 | NPI | - | NPPES |
158559801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
21502 Merchants Way Ste A, Katy, TX 77449-2515 Ph: (281) 944-2232 | 5350 S Staples, Suite 318, Corpus Christi, TX 78411 Ph: (361) 992-1060 |