Organization
SOUTHSIDE FAMILY CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROB M TSCHAUNER MD. (PRESIDENT)
(361) 985-1420
Entity
Organization
Contact information
Practice address
5934 S STAPLES ST STE 224, CORPUS CHRISTI, TX 78413-3842
(361) 985-1420
(361) 992-9237
Mailing address
5934 S STAPLES ST STE 224, CORPUS CHRISTI, TX 78413-3842
(361) 985-1420
(361) 992-9237
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H4757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083971401
—
TX
Enumeration date
04/04/2007
Last updated
03/15/2011
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