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Organization
TX PRIVATE PRACTICE LLC
Active
Organization
TX PRIVATE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GAZA (CLINIC ADMINISTRATOR)
(210) 862-8849
Entity
Organization
Contact information
Practice address
2209 N PADRE ISLAND DR STE K1, CORPUS CHRISTI, TX 78408-2261
(361) 500-4200
(361) 666-1019
Mailing address
2209 N PADRE ISLAND DR STE K1, CORPUS CHRISTI, TX 78408-2261
(210) 862-8849
(361) 666-1019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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