Individual
MARIA L LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4613 S STAPLES ST STE C&D, CORPUS CHRISTI, TX 78411-2605
(361) 851-0000
(361) 653-2543
Mailing address
4833 SARATOGA BLVD, PMB 606, CORPUS CHRISTI, TX 78413-2213
(361) 851-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030131902
—
TX
01
—
8M1730
BCBS
TX
Enumeration date
11/17/2005
Last updated
05/19/2011
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