Organization
SOUTHERN TEXAS PHYSICIANS NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP)
(956) 350-3901
Entity
Organization
Contact information
Practice address
100B ALTON GLOOR ROAD, SUITE 240, BROWNSVILLE, TX 78526
(956) 350-3901
Mailing address
100B ALTON GLOOR ROAD, SUITE 240, BROWNSVILLE, TX 78526
(956) 350-3901
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045MD
BLUE CROSS BLUE SHIELD OF
TX
Enumeration date
07/05/2006
Last updated
08/29/2007
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