Organization
COASTAL BEND FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT LEE PENNINGTON MD (PRESIDENT)
(361) 985-1221
Entity
Organization
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 985-1221
(361) 985-1295
Mailing address
PO BOX 6696, CORPUS CHRISTI, TX 78466-6696
(361) 985-1221
(361) 985-1295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
12/11/2023
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