DR V PLLC NPI 1609423540

NPI Information

DR V PLLC is a primary care clinic center in Corpus Christi, TX. DR V PLLC NPI is 1609423540. The provider is registered as an organization entity type.

The provider's business location address is:

13801 JOLLY ROGER ST
CORPUS CHRISTI, TX
ZIP 78418-924
Phone: (361) 800-5917
Fax: (361) 867-1067

The provider's authorized official is Peter Vasconcellos .
The authorized official title is Physician and has the following contact phone number (920) 883-2521.

The CLIA number assigned to this NPI record is 45D2156368 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 3/13/2020.

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:

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