Organization
CORRIDOR PRIMARY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M COMSTOCK RN (OFFICE MANAGER)
(512) 392-1700
Entity
Organization
Contact information
Practice address
601B LEAH AVE, SAN MARCOS, TX 78666-7849
(512) 392-1700
(512) 396-8743
Mailing address
601B LEAH AVE, SAN MARCOS, TX 78666-7849
(512) 392-1700
(512) 396-8743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111671701
—
TX
Enumeration date
07/06/2006
Last updated
07/30/2025
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