# CC DOCTORS CENTER PORTLAND, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Doctors Center Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821544396
- **Authorized official:** DR. JAMES KEITH ROSE M.D. (PRESIDENT CEO)
- **Authorized official phone:** (361) 651-1200

## Contact information

- **Practice address:** 125 NORTHSHORE BLVD, PORTLAND, TX 78374-4206
- **Practice address phone:** (361) 852-6824
- **Practice address fax:** (361) 814-6828
- **Mailing address:** 4637 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78411-4413
- **Mailing address phone:** (361) 852-6824
- **Mailing address fax:** (361) 814-6828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | J4486 | TX | — |

## Other

- **Enumeration date:** 08/25/2016
- **Last updated:** 12/18/2024