# JCM VEIN PLLC VEIN CARE COASTAL BEND

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

## Provider details

- **NPI number:** 1508384652
- **Authorized official:** CHARLES RODMAN MD (PRESIDENT)
- **Authorized official phone:** (361) 884-2904

## Contact information

- **Practice address:** 3301 S ALAMEDA ST STE 402, CORPUS CHRISTI, TX 78411-1882
- **Practice address phone:** (361) 371-8100
- **Practice address fax:** (361) 371-8101
- **Mailing address:** PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
- **Mailing address phone:** (361) 884-2904
- **Mailing address fax:** (361) 884-1912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 09/08/2017
