# PROFESSIONALS INSERTING CENTRAL CATHETERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063644227
- **Authorized official:** TAMMY J. PATTILLO ACNP-BC (OWNER)
- **Authorized official phone:** (361) 548-0105

## Contact information

- **Practice address:** 4309 LAVACA RIVER CT, CORPUS CHRISTI, TX 78410
- **Practice address phone:** (361) 548-0105
- **Mailing address:** 4309 LAVACA RIVER CT, CORPUS CHRISTI, TX 78410
- **Mailing address phone:** (361) 548-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 571896 | TX | — |
| 363LA2100X | Acute Care Nurse Practitioner | 571896 | TX | Yes |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 07/09/2013