# CORPUS CHRISTI VASCULAR PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST TEXAS SURGICAL ASSOCIATES, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811732761
- **Legal business name:** EAST TEXAS SURGICAL ASSOCIATES, PA
- **Authorized official:** DR. LLEWELLYN LEE MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (915) 760-1987

## Contact information

- **Practice address:** 1521 S STAPLES ST STE 511, CORPUS CHRISTI, TX 78404-3150
- **Practice address phone:** (361) 882-4000
- **Mailing address:** 1521 S STAPLES ST STE 511, CORPUS CHRISTI, TX 78404-3150
- **Mailing address phone:** (361) 882-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024