Organization
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Active
Parent organization
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Other names
DRISCOLL AFTER HOURS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Authorized official
DERRICK PARKER (ADMINISTRATOR)
(361) 694-5081
Entity
Organization
Contact information
Practice address
115 MEDICAL DR STE 201, VICTORIA, TX 77904-3105
(361) 572-1045
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082887301
—
TX
Enumeration date
05/08/2009
Last updated
03/29/2023
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