Organization
EXECUTIVE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C.J. BURGIN (PRESIDENT)
(210) 767-9042
Entity
Organization
Contact information
Practice address
2601 HOSPITAL BLVD, STE 117, CORPUS CHRISTI, TX 78405-1815
(361) 884-8209
(361) 882-6649
Mailing address
2601 HOSPITAL BLVD, STE 117, CORPUS CHRISTI, TX 78405-1815
(361) 884-8209
(361) 882-6649
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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