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Organization

FIRST ASSISTANTS OF SOUTH TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB D SKORUPPA (PRESIDENT)
(361) 537-3209
Entity
Organization

Contact information

Practice address
6256 LEMANS DR, CORPUS CHRISTI, TX 78414-6131
(361) 537-3209
(361) 336-0217
Mailing address
6256 LEMANS DR, CORPUS CHRISTI, TX 78414-6131
(361) 537-3209
(361) 336-0217

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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