45D0987968 CLIA NUMBER - SOUTH TEXAS HCS - CORPUS CHRISTI OPC

Laboratory Demographics

CLIA Number: 45D0987968

Facility Name: SOUTH TEXAS HCS - CORPUS CHRISTI OPC

Facility Address:
5277 RESOURCE PLAZA SUITE 201
CORPUS CHRISTI, TX
ZIP 78405
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Facility Phone Number: 361 806-5627

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1740236207

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	45D0987968
LAB Type	Community Clinic
Facility Name	SOUTH TEXAS HCS - CORPUS CHRISTI OPC
Street	5277 RESOURCE PLAZA SUITE 201
City	CORPUS CHRISTI
State	TX
ZIP	78405
Phone	361 806-5627
CertificateType	1
CertificateEffectiveDate	6/18/2001
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024