Organization
CORPUS CHRISTI OBSTETRIC ANESTHESIA ASSOCIATES
Active
Organization
CORPUS CHRISTI OBSTETRIC ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. MICHAEL DWYER M.D. (OWNER)
(361) 883-6211
Entity
Organization
Contact information
Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 853-2200
Mailing address
4455 S PADRE ISLAND DR, STE 11, CORPUS CHRISTI, TX 78411-5163
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C191
BLUE CROSS
TX
01
—
00F0611
BLUE CROSS
TX
05
—
110818504
—
TX
Enumeration date
03/29/2006
Last updated
05/26/2022
Update your record
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