Organization
COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN MICAN (PRACTICE MANAGER)
(361) 883-3831
Entity
Organization
Contact information
Practice address
613 ELIZABETH ST STE 809, CORPUS CHRISTI, TX 78404-2232
(361) 883-3831
(361) 887-0146
Mailing address
613 ELIZABETH ST STE 809, CORPUS CHRISTI, TX 78404-2232
(361) 883-3831
(361) 887-0146
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
E7836
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
G9395
TX
208C00000X
Colon & Rectal Surgery Physician
M0423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101550502
—
TX
05
—
114250703
—
TX
05
—
172277901
—
TX
Enumeration date
03/29/2007
Last updated
01/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us