# CORPUS CHRISTI REGENERATIVE THERAPY PLLC

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

## Provider details

- **NPI number:** 1487291142
- **Authorized official:** LORRAINE ARLINE ANTONI NEONATAL NURSE PRACT (OWNER)
- **Authorized official phone:** (361) 215-0083

## Contact information

- **Practice address:** 5309 WILLIAMS DR STE B, CORPUS CHRISTI, TX 78411-4638
- **Practice address phone:** (361) 851-0545
- **Practice address fax:** (361) 991-4673
- **Mailing address:** 5309 WILLIAMS DR STE B, CORPUS CHRISTI, TX 78411-4638
- **Mailing address phone:** (361) 851-0545
- **Mailing address fax:** (361) 991-4673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2019
- **Last updated:** 01/18/2022