Organization
AMBULATORY ADULT NEUROLOGY, PA
Active
Organization
AMBULATORY ADULT NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN FELIPE SANTOS M.D. (PRESIDENT)
(361) 882-9100
Entity
Organization
Contact information
Practice address
5402 HOLLY ROAD, SUITE 2102, CORPUS CHRISTI, TX 78411
(361) 882-9100
(361) 882-9194
Mailing address
5402 HOLLY ROAD, SUITE 2102, CORPUS CHRISTI, TX 78411
(361) 882-9100
(361) 882-9194
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H2754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148759701
—
TX
Enumeration date
07/05/2007
Last updated
01/29/2014
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