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Organization
TOM W DORRELL JR MD PA
Active
Organization
TOM W DORRELL JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM W DORRELL JR. M.D.,PA (DOCTOR)
(361) 949-1900
Entity
Organization
Contact information
Practice address
14433 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78418-5938
(361) 949-1900
(361) 949-2005
Mailing address
14433 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78418-5938
(361) 949-1900
(361) 949-2005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79LZ
BLUECROSS BLUESHIELD
TX
Enumeration date
11/15/2006
Last updated
03/05/2008
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