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Organization

SOUTH COAST OPERATIVE ASSISTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL HERNANDEZ JR. LSA (OWNER)
(361) 537-2422
Entity
Organization

Contact information

Practice address
7310 WILDER LN, CORPUS CHRISTI, TX 78414
(361) 537-2422
Mailing address
PO BOX 8145, CORPUS CHRISTI, TX 78468-8145

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
12/31/2021
Last updated
03/20/2025
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