Organization
CORPUS CHRISTI INSTITUTE OF PAIN MANAGEMENT INC
Active
Other names
Rehab One Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
EVAH D GONZALES (PRACTICE MANAGEMENT CONSULTANT)
(361) 549-3798
Entity
Organization
Contact information
Practice address
6001 S STAPLES ST, CORPUS CHRISTI, TX 78413-2901
(361) 993-3917
(361) 993-4336
Mailing address
6001 S STAPLES ST, CORPUS CHRISTI, TX 78413-2901
(361) 993-3917
(361) 993-4336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3033DC
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042GH
BC/BS GROUP
TX
Enumeration date
06/11/2006
Last updated
09/24/2008
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