Individual
DR. DANIELA BADEA-MIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
527 GORDON ST, CORPUS CHRISTI, TX 78404-2535
(361) 850-8300
(361) 850-8302
Mailing address
527 GORDON ST, CORPUS CHRISTI, TX 78404-2535
(361) 850-8300
(361) 850-8302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J6863
TX
363LF0000X
Family Nurse Practitioner
J6863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580203
—
TX
05
—
178162701
—
TX
Enumeration date
01/13/2006
Last updated
02/24/2011
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