Organization
ADVANCED MEDICAL CARE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND G MODAK M.D. (OFFICER/DIRECTOR)
(361) 244-0869
Entity
Organization
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404
(361) 881-3000
Mailing address
P.O. BOX 61184, CORPUS CHRISTI, TX 78413
(361) 882-6161
(361) 882-6163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1397
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180890901
—
TX
Enumeration date
06/10/2006
Last updated
09/02/2010
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