Professional Association | |
13701 Northwest Blvd #a Corpus Christi TX 78410-5127 | |
(361) 387-9496 | |
(361) 387-8379 |
Full Name | Professional Association |
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Speciality | Family Medicine |
Location | 13701 Northwest Blvd, Corpus Christi, Texas |
Authorized Official Name and Position | Roger M Sifuentes (OWNER) |
Authorized Official Contact | 3613879496 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Professional Association Po Box 6396 Corpus Christi TX 78466-6396 Ph: (361) 387-9496 | Professional Association 13701 Northwest Blvd #a Corpus Christi TX 78410-5127 Ph: (361) 387-9496 |
NPI Number | 1861467862 |
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Provider Enumeration Date | 02/22/2006 |
Last Update Date | 05/02/2013 |
Medicare PECOS PAC ID | 7719963941 |
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Medicare Enrollment ID | O20040628000734 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861467862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Roger M Sifuentes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720209901 PECOS PAC ID: 7517943749 Enrollment ID: I20040630000875 |
Provider Name | Eliana A Irigoyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235769118 PECOS PAC ID: 6204265390 Enrollment ID: I20200413001283 |
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Michael S Lovoi Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13725 Northwest Blvd, Suite 260, Corpus Christi, TX 78410 Phone: 361-387-5161 Fax: 361-387-4871 | |
Corpus Christi Cardiovascular Center, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Elizabeth St, Suite 102, Corpus Christi, TX 78404 Phone: 361-887-8111 Fax: 361-887-8780 | |
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South Texas Adult Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414 Phone: 361-225-2255 Fax: 361-854-3672 | |
Advanced Medical Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Elizabeth St, Corpus Christi, TX 78404 Phone: 361-881-3000 | |
Port Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5607 Everhart Rd, Corpus Christi, TX 78411 Phone: 361-854-4601 Fax: 361-371-8376 |