Organization
MARIA LUISA LIRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO LIRA MD (PRESIDENT)
(361) 851-0000
Entity
Organization
Contact information
Practice address
4621 S STAPLES ST, CORPUS CHRISTI, TX 78411-2605
(361) 851-0000
(361) 653-2538
Mailing address
4621 S STAPLES ST, CORPUS CHRISTI, TX 78411-2605
(361) 851-0000
(361) 653-2538
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053LC
BCBS
TX
05
—
165159801
—
TX
Enumeration date
12/01/2006
Last updated
04/23/2015
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