Individual
DR. CHARLES WILLIAM BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5917 CROSSTOWN EXPRESSWAY SH 286, CORPUS CHRISTI, TX 78417
(361) 854-0811
(361) 806-5040
Mailing address
5917 CROSSTOWN EXPRESSWAY SH 286, CORPUS CHRISTI, TX 78417
(361) 854-0811
(361) 806-5040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J8212
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
J8212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106783-02
—
TX
Enumeration date
08/13/2006
Last updated
02/07/2023
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