Organization
CLINICAL PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1818
(800) 939-7440
(903) 663-3629
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040096
—
LA
05
—
154242502
—
TX
05
—
158449
—
AZ
05
—
175305002
—
AR
05
—
200097310A
—
OK
05
—
25109847
—
CO
Enumeration date
05/03/2006
Last updated
08/20/2019
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