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Organization
JAVIER ALONSO, M.D., PH.D., P.A.
Active
Organization
JAVIER ALONSO, M.D., PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BAUER R.N. (ADMINISTRATOR)
(361) 991-6611
Entity
Organization
Contact information
Practice address
5242 HOLLY RD, CORPUS CHRISTI, TX 78411-4633
(361) 991-6611
(361) 992-6622
Mailing address
5242 HOLLY RD, CORPUS CHRISTI, TX 78411-4633
(361) 991-6611
(361) 992-6622
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L2095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148161601
—
TX
01
—
DG6514
MEDICARE RAILROAD
TX
Enumeration date
05/20/2006
Last updated
07/01/2015
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