Organization
CORPUS CHRISTI SURGICARE LTD
Active
Other names
Corpus Christi Outpatient Surgery Center, CHRISTUS Spohn Texas Orthopedic Center of Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFIICAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
5909 CROSSTOWN SH #286, CORPUS CHRISTI, TX 78417
(361) 853-2200
(361) 853-2203
Mailing address
5909 CROSSTOWN SH 286, CORPUS CHRISTI, TX 78417
(361) 853-2200
(361) 853-2203
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087958702
—
TX
01
—
P00465833
RAILROAD MEDICARE
TX
Enumeration date
12/19/2006
Last updated
10/04/2024
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