# TEXAS WELLNESS CENTER OF CORPUS CHRISTI PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Wellness Center of Corpus Christi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578093506
- **Authorized official:** CANDICE ZIMMER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (361) 452-1916

## Contact information

- **Practice address:** 6122 KOSTORYZ ROAD, 102, CORPUS CHRISTI, TX 78415
- **Practice address phone:** (361) 452-1916
- **Mailing address:** 6122 KOSTORYZ ROAD, 102, CORPUS CHRISTI, TX 78415
- **Mailing address phone:** (361) 452-1916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 07/21/2022