Organization
DR V PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VASCONCELLOS DO (PHYSICIAN)
(920) 883-2521
Entity
Organization
Contact information
Practice address
13801 JOLLY ROGER ST, CORPUS CHRISTI, TX 78418-6924
(361) 800-5917
(361) 867-1067
Mailing address
14493 SPID DR STE A288, CORPUS CHRISTI, TX 78418-5931
(361) 800-5917
(361) 867-1067
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
03/13/2020
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