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Organization

CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC

Active
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Organization

CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA HENDRICKS (INSURANCE CLERK)
(361) 993-2290
Entity
Organization

Contact information

Practice address
5756 S STAPLES ST F, CORPUS CHRISTI, TX 78413-3796
(361) 993-2290
(361) 992-4961
Mailing address
5756 S STAPLES ST, CORPUS CHRISTI, TX 78413-3796
(361) 993-2290
(361) 992-4961

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
06/15/2006
Last updated
01/10/2013
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