Provider First Line Business Practice Location Address:
3533 S ALAMEDA ST
Provider Second Line Business Practice Location Address:
NEONATOLOGY OFFICE, 3RD FLOOR
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78411-1721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-694-6232
Provider Business Practice Location Address Fax Number:
361-806-0691
Provider Enumeration Date:
05/17/2006