Organization
PEDIATRIC SURGICAL SPECIALISTS OF SOUTH TEXAS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK MORALES M.D. (PRESIDENT)
(361) 854-0201
Entity
Organization
Contact information
Practice address
3533 S ALAMEDA ST, SUITE 209, CORPUS CHRISTI, TX 78411-1721
(361) 854-0201
(361) 855-7572
Mailing address
PO BOX 30104, CORPUS CHRISTI, TX 78463-0104
(361) 854-0201
(361) 855-7572
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
M0019
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J5418
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
L1528
TX
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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