Organization
PROFESSIONALS INSERTING CENTRAL CATHETERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY J. PATTILLO ACNP-BC (OWNER)
(361) 548-0105
Entity
Organization
Contact information
Practice address
4309 LAVACA RIVER CT, CORPUS CHRISTI, TX 78410
(361) 548-0105
Mailing address
4309 LAVACA RIVER CT, CORPUS CHRISTI, TX 78410
(361) 548-0105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
571896
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
571896
TX
Other
Enumeration date
08/20/2009
Last updated
07/09/2013
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