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Organization
PAM SQUARED AT CORPUS CHRISTI, LLC
Active
Organization
PAM SQUARED AT CORPUS CHRISTI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY F. MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
345 S. WATER ST., 3RD FLOOR, CORPUS CHRISTI, TX 78401
(361) 500-0565
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
(717) 731-9665
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346300201
—
TX
05
—
346300202
—
TX
Enumeration date
09/15/2014
Last updated
08/03/2023
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