Organization
CORPUS CHRISTI TOTS & TEENS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEE BORCHARD M.D. (PRESIDENT)
(361) 991-1885
Entity
Organization
Contact information
Practice address
6434 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-3425
(361) 991-1885
(361) 991-1839
Mailing address
6434 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-3425
(361) 991-1885
(361) 991-1839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K5826
TX
363LF0000X
Family Nurse Practitioner
605088
TX
363LP0200X
Pediatric Nurse Practitioner
533345
TX
Other
Enumeration date
03/07/2007
Last updated
09/20/2012
Update your record
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