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Organization

CHARLES MCKENZIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES J. MCKENZIE (ADMINISTRATOR)
(361) 851-0311
Entity
Organization

Contact information

Practice address
4626 WEBER RD, SUITE 21, CORPUS CHRISTI, TX 78411-3543
(361) 851-0311
(361) 851-0311
Mailing address
115 OLEANDER AVE, CORPUS CHRISTI, TX 78404-1728
(361) 851-0311
(361) 851-0990

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
TX

Other

Enumeration date
02/06/2007
Last updated
08/22/2020
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