Organization
A. LEE GUINN JR., MD PA
Active
Other names
Longevity & Wellness Center of South Texas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT LEE GUINN JR. MD (OWNER PRESIDENT)
(361) 225-0800
Entity
Organization
Contact information
Practice address
3301 S ALAMEDA ST, SUITE 100, CORPUS CHRISTI, TX 78411-1882
(361) 225-0800
(361) 225-2200
Mailing address
3301 S ALAMEDA ST, SUITE 100, CORPUS CHRISTI, TX 78411-1882
(361) 225-0800
(361) 225-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00829N
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/29/2006
Last updated
04/15/2008
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