Provider First Line Business Practice Location Address: 
600 ELIZABETH ST
    Provider Second Line Business Practice Location Address: 
EMERGENCY DEPT, CHRISTUS SPOHN HOSPITAL SHORELINE
    Provider Business Practice Location Address City Name: 
CORPUS CHRISTI
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
78404
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
361-881-3811
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/31/2006