| Eisen J. Espina, M.d., P.a. | |
|
5525 S Staples St Ste. E2 Corpus Christi TX 78411-5357 | |
| (361) 993-9500 | |
| (361) 993-7933 |
| Full Name | Eisen J. Espina, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5525 S Staples St, Corpus Christi, Texas |
| Authorized Official Name and Position | Eisen Jover Espina (PRESIDENT) |
| Authorized Official Contact | 3619939500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisen J. Espina, M.d., P.a. 5525 S Staples St Ste. E2 Corpus Christi TX 78411-5357 Ph: (361) 993-9500 | Eisen J. Espina, M.d., P.a. 5525 S Staples St Ste. E2 Corpus Christi TX 78411-5357 Ph: (361) 993-9500 |
| NPI Number | 1508176470 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Medicare PECOS PAC ID | 1052500295 |
|---|---|
| Medicare Enrollment ID | O20110104000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508176470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E9621 (Texas) | Primary |
| Provider Name | Eisen J Espina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649223322 PECOS PAC ID: 2961691100 Enrollment ID: I20110104000977 |
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