| Port Medical Center | |
|
5607 Everhart Rd Corpus Christi TX 78411-4904 | |
| (361) 854-4601 | |
| (361) 371-8376 |
| Full Name | Port Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 5607 Everhart Rd, Corpus Christi, Texas |
| Authorized Official Name and Position | Steven E Nowotny (OWNER) |
| Authorized Official Contact | 3619296960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Medical Center Po Box 61160 Corpus Christi TX 78466-1160 Ph: (361) 884-2904 | Port Medical Center 5607 Everhart Rd Corpus Christi TX 78411-4904 Ph: (361) 854-4601 |
| NPI Number | 1033175039 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033175039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7848 (Texas) | Primary |
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