Organization
LONE STAR INFECTIOUS DISEASE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLETTE SIMON M.D. (PRESIDENT)
(361) 906-1027
Entity
Organization
Contact information
Practice address
1902 MORGAN AVE, CORPUS CHRISTI, TX 78404-3554
(361) 884-9400
(361) 906-2626
Mailing address
PO BOX 5426, CORPUS CHRISTI, TX 78465-5426
(361) 906-1027
(361) 906-2626
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
M1350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184715401
—
TX
Enumeration date
08/22/2006
Last updated
03/29/2010
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