CORPUS CHRISTI GASTROENTEROLOGY PLLC NPI 1760490361

NPI Information

CORPUS CHRISTI GASTROENTEROLOGY PLLC is a specialist in Corpus Christi, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CORPUS CHRISTI GASTROENTEROLOGY PLLC NPI is 1760490361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6421 SARATOGA BLVD.
BLDG. 106
CORPUS CHRISTI, TX
ZIP 78414-480
Phone: (361) 991-7109
Fax: (361) 991-5213

The provider's authorized official is Robert Scott Mitchell .
The authorized official title is Owner and has the following contact phone number (361) 991-7109.

The CLIA number assigned to this NPI record is 45D2154499 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 1/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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