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Organization
CHILD STUDY CLINIC
Active
Organization
CHILD STUDY CLINIC
Active
Other names
S.T.A.R.S.
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE SERRANO (CLINIC COORDINATOR I)
(361) 575-0681
Entity
Organization
Contact information
Practice address
117 MEDICAL DR STE 4, VICTORIA, TX 77904-3114
(361) 575-0681
(361) 575-0100
Mailing address
117 MEDICAL DR STE 4, VICTORIA, TX 77904-3114
(361) 575-0681
(361) 575-0100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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