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Organization
NUECES PHYSICIAN SERVICES, PA
Active
Organization
NUECES PHYSICIAN SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A PAWLOWSKI MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380739801
—
TX
Enumeration date
12/08/2017
Last updated
05/11/2021
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