Organization
CHCA MAINLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CALLAWAY (CFO)
(409) 938-5000
Entity
Organization
Contact information
Practice address
6807 EMMETT F LOWRY EXPY, SUITE 305, TEXAS CITY, TX 77591-2546
(409) 938-5000
Mailing address
6801 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2500
(409) 938-5000
(409) 938-5001
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
—
—
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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