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Organization
COASTAL BEND HOUSE CALLS
Active
Organization
COASTAL BEND HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD OLDHAM FNP-C (OWNER)
(361) 985-1221
Entity
Organization
Contact information
Practice address
4444 CORONA DR STE 130, CORPUS CHRISTI, TX 78411-4322
(361) 992-4500
(361) 992-4502
Mailing address
4444 CORONA DR STE 130, CORPUS CHRISTI, TX 78411-4322
(361) 992-4500
(361) 992-4502
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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