Organization
CORPUS CHRISTI FAMILY MEDICINE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E MARTIN M.D. (PRESIDENT)
(361) 808-7200
Entity
Organization
Contact information
Practice address
601 TEXAN TRL, SUITE 200, CORPUS CHRISTI, TX 78411-2547
(361) 808-7200
(361) 225-0020
Mailing address
601 TEXAN TRL, SUITE 200, CORPUS CHRISTI, TX 78411-2547
(361) 808-7200
(361) 225-0020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156123501
—
TX
Enumeration date
01/25/2006
Last updated
05/22/2012
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