Organization
CORPUS CHRISTI ALLERGY & DERMATOLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LYNN SMITH MD (PRESIDENT)
(361) 882-3487
Entity
Organization
Contact information
Practice address
5402 S STAPLES SUITE 205, CORPUS CHRISTI, TX 78411
(361) 882-3487
(361) 882-3811
Mailing address
PO BOX 60170, CORPUS CHRISTI, TX 78466
(361) 882-3487
(361) 882-3811
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H3177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699779652
NPI
TX
Enumeration date
08/31/2006
Last updated
08/22/2020
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