| Southside Family Care Associates Pa | |
|
5934 S Staples St Ste 224 Corpus Christi TX 78413-3842 | |
| (361) 985-1420 | |
| (361) 992-9237 |
| Full Name | Southside Family Care Associates Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5934 S Staples St Ste 224, Corpus Christi, Texas |
| Authorized Official Name and Position | Rob M Tschauner (PRESIDENT) |
| Authorized Official Contact | 3619851420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Family Care Associates Pa 5934 S Staples St Ste 224 Corpus Christi TX 78413-3842 Ph: (361) 985-1420 | Southside Family Care Associates Pa 5934 S Staples St Ste 224 Corpus Christi TX 78413-3842 Ph: (361) 985-1420 |
| NPI Number | 1376665018 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 03/15/2011 |
| Medicare PECOS PAC ID | 7113100793 |
|---|---|
| Medicare Enrollment ID | O20110318000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376665018 | NPI | - | NPPES |
| 083971401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H4757 (Texas) | Primary |
| Provider Name | Rob M Tschauner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427033067 PECOS PAC ID: 4385827963 Enrollment ID: I20110318000494 |
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