Organization
COASTAL BEND CANCER CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORA RODRIGUEZ (OFFICE MANAGER)
(361) 887-0067
Entity
Organization
Contact information
Practice address
1625 RODD FIELD RD, SUITE 100, CORPUS CHRISTI, TX 78412-4926
(361) 887-0067
(361) 887-1885
Mailing address
PO BOX 81346, CORPUS CHRISTI, TX 78468-1346
(361) 887-0067
(361) 887-1885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K1120
TX
174400000X
Specialist
K3846
TX
174400000X
Specialist
L5449
TX
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00465T
BLUE CROSS BLUE SHIELD
TX
05
—
151269101
—
TX
Enumeration date
01/12/2006
Last updated
10/30/2024
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