Organization
CUTTING EDGE SURGICAL
Active
Organization
CUTTING EDGE SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB D SKORUPPA LSA (CEO)
(361) 876-6689
Entity
Organization
Contact information
Practice address
5929 BRIGHTWOOD DR, CORPUS CHRISTI, TX 78414-3029
(361) 876-6689
Mailing address
5929 BRIGHTWOOD DR, CORPUS CHRISTI, TX 78414-3029
(361) 876-6689
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00374
TX
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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