Organization
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Active
Parent organization
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Other names
Plastic Reconstructive Surgical Services of South Texas
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Authorized official
DALE OBERMUELLER (ADMINISTRATOR)
(361) 694-5081
Entity
Organization
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-4444
(361) 694-4445
Mailing address
PO BOX 9336, CORPUS CHRISTI, TX 78469-9336
(361) 694-1603
(361) 694-6544
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163786003
—
TX
Enumeration date
09/17/2007
Last updated
03/29/2023
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