Organization
COASTAL BEND SURGERY CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MORALES (CFO)
(361) 993-2000
Entity
Organization
Contact information
Practice address
5837 SPOHN DR, CORPUS CHRISTI, TX 78413-4121
(361) 993-2000
(361) 985-6834
Mailing address
6130 PARKWAY DRIVE, CORPUS CHRISTI, TX 78414-4121
(361) 993-2000
(361) 985-6834
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085857301
—
TX
01
—
HH1243
BCBS PROVIDER NUMBER
TX
01
—
P00125360
PALMETTO RR MEDICARE PROV
TX
Enumeration date
10/03/2006
Last updated
07/13/2010
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