# ISLAND PHYSICIANS LLC

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

## Provider details

- **NPI number:** 1134997158
- **Authorized official:** BRENT PENNINGTON MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (361) 985-1221

## Contact information

- **Practice address:** 600 ELIZABETH ST, BUILDING B, 4TH FLOOR, CORPUS CHRISTI, TX 78404
- **Practice address phone:** (361) 371-8933
- **Mailing address:** PO BOX 6696, CORPUS CHRISTI, TX 78466-6696
- **Mailing address phone:** (361) 985-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 12/19/2023