| Wellmed Holly Road Senior Clinic | |
|
5402 Holly Rd Suite 102 Corpus Christi TX 78411-4645 | |
| (361) 883-9688 | |
| Not Available |
| Full Name | Wellmed Holly Road Senior Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5402 Holly Rd, Corpus Christi, Texas |
| Authorized Official Name and Position | Carlos O Hernandez (PRESIDENT) |
| Authorized Official Contact | 2108777570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmed Holly Road Senior Clinic 8637 Fredericksburg Rd Ste 360 Attn: Director Of Accounts Receivable San Antonio TX 78240-1285 Ph: (210) 877-7570 | Wellmed Holly Road Senior Clinic 5402 Holly Rd Suite 102 Corpus Christi TX 78411-4645 Ph: (361) 883-9688 |
| NPI Number | 1477851970 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477851970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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