Individual
MR. EUGENE CHARLES THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 ELIZABETH ST, SUITE 605, CORPUS CHRISTI, TX 78404-2220
(361) 883-6211
(361) 882-4891
Mailing address
613 ELIZABETH ST, SUITE 605, CORPUS CHRISTI, TX 78404-2220
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265803 02
—
TX
Enumeration date
08/24/2005
Last updated
07/30/2010
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