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Organization

CITY OF CORPUS CHRISTI

Active
Parent organization
CITY OF CORPUS CHRISTI
Other names
Corpus Christi-Nueces County Public Health District Laboratory
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITY OF CORPUS CHRISTI
Authorized official
MS. SANDRA S HEATHERLEY M.P.H. MT(ASCP) (DIVISION DIRECTOR)
(361) 851-7214
Entity
Organization

Contact information

Practice address
1702 HORNERD, CORPUS CHRISTI, TX 78416
(361) 826-1303
(361) 826-7212
Mailing address
1201 LEOPARD, CORPUS CHRISTI, TX 78401
(361) 826-1303
(361) 826-7212

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
C13938
TX
251K00000X
Public Health or Welfare Agency
C13938
TX
251K00000X
Public Health or Welfare Agency
291U00000X
Clinical Medical Laboratory
45D0660522
TX
291U00000X
Clinical Medical Laboratory
Primary
C13938
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130958501
TX
05
130958502
TX
05
130958503
TX
05
130958504
TX
05
130958505
TX
05
130958508
TX
05
130958509
TX
05
130958510
TX
Enumeration date
07/01/2006
Last updated
12/20/2011
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