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Organization
SHORELINE SURGERY CENTER LLP
Active
Organization
SHORELINE SURGERY CENTER LLP
Active
Other names
CHRISTUS Spohn-Surgicare of Corpus Christi
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (AUTHORIZED OFFICIAL)
(713) 343-9083
Entity
Organization
Contact information
Practice address
718 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2212
(361) 882-3204
(361) 886-6322
Mailing address
718 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2212
(361) 882-3204
(361) 886-6322
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189160801
—
TX
01
—
HH1218
BCBS
TX
01
—
P00465833
MEDICARE RR
TX
Enumeration date
11/06/2007
Last updated
01/11/2025
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