Organization
BURCHAM C. FUQUA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURCHAM COOPER FUQUA MD (PRESIDENT)
(361) 991-7039
Entity
Organization
Contact information
Practice address
5826 ESPLANADE DR, SUITE 303, CORPUS CHRISTI, TX 78414-4173
(361) 991-7039
(361) 994-1941
Mailing address
5826 ESPLANADE DR, SUITE 303, CORPUS CHRISTI, TX 78414-4173
(361) 991-7039
(361) 994-1941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F9456
TX
Other
Enumeration date
05/30/2008
Last updated
11/19/2010
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