Organization
CARLOS B EVERETT, M.D.
Active
Other names
Port Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS B EVERETT M.D. (OWNER)
(361) 887-0584
Entity
Organization
Contact information
Practice address
917 S PORT AVE, CORPUS CHRISTI, TX 78405-2301
(361) 887-0584
(361) 887-0586
Mailing address
917 S PORT AVE, CORPUS CHRISTI, TX 78405-2301
(361) 887-0584
(361) 887-0586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080577201
—
TX
Enumeration date
11/01/2006
Last updated
12/29/2009
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