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Organization
DEPARTMENT OF ANESTHESIOLOGY-CORPUS CHRISTI
Active
Organization
DEPARTMENT OF ANESTHESIOLOGY-CORPUS CHRISTI
Active
Parent organization
UTMB FACULTY GROUP PRACTICE
Other names
Anesthesiology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTMB FACULTY GROUP PRACTICE
Authorized official
MRS. CARLENE F RIZZO (ANESTHESIA SERVICE MANAGER)
(361) 694-4449
Entity
Organization
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5445
(361) 694-5449
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5445
(361) 694-5449
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003788860
—
KS
05
—
112837302
—
TX
01
—
HV49
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
03/29/2006
Last updated
05/06/2015
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