| Cecil M. Bourne, Md | |
|
3301 S Alameda St Suite 306 Corpus Christi TX 78411-1882 | |
| (361) 852-4200 | |
| (361) 852-5304 |
| Full Name | Cecil M. Bourne, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 3301 S Alameda St, Corpus Christi, Texas |
| Authorized Official Name and Position | Cecil Martindale Bourne (OWNER) |
| Authorized Official Contact | 3618524200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cecil M. Bourne, Md 3301 S Alameda St Suite 306 Corpus Christi TX 78411-1882 Ph: (361) 852-4200 | Cecil M. Bourne, Md 3301 S Alameda St Suite 306 Corpus Christi TX 78411-1882 Ph: (361) 852-4200 |
| NPI Number | 1245419118 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245419118 | NPI | - | NPPES |
| 081210901 | Medicaid | TX | |
| 110184080 | Other | TX | MEDICARE RAILROAD |
| 82N381 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D8154 (Texas) | Primary |
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