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Organization

THOMAS-SPANN CLINIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAL JENNINGS (CEO)
(361) 696-6200
Entity
Organization

Contact information

Practice address
7121 S PADRE ISLAND DR, STE 300, CORPUS CHRISTI, TX 78412-4938
(361) 696-6200
(361) 696-6054
Mailing address
PO BOX 6409, CORPUS CHRISTI, TX 78466-6409
(361) 696-6200
(361) 696-6054

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CL8359
MEDICARE
TX
Enumeration date
12/22/2005
Last updated
04/17/2008
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