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Organization
SURGICAL CONSULTANTS PA
Active
Organization
SURGICAL CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMIE OWSLEY MD (PRESIDENT)
(361) 887-9928
Entity
Organization
Contact information
Practice address
6210 WOOLDRIDGE RD STE A, CORPUS CHRISTI, TX 78414-2528
(361) 887-9928
(361) 887-9947
Mailing address
PO BOX 751, CORPUS CHRISTI, TX 78403-0751
(361) 887-9928
(361) 887-9947
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186466201
—
TX
Enumeration date
03/29/2007
Last updated
05/25/2011
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