Organization
CONNER INTENSIVIST GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A PAWLOWSKI MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 881-3000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405610301
—
TX
Enumeration date
06/11/2019
Last updated
05/17/2021
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