Organization
CODORNIZ BILLING, LLC
Active
Other names
Family Medicine of Rockport
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL D MAYBERRY (CFO)
(361) 779-5176
Entity
Organization
Contact information
Practice address
2871 HWY 35 N, ROCKPORT, TX 78382-5712
(361) 779-5176
(361) 729-1692
Mailing address
PO BOX 1865, ROCKPORT, TX 78381-1865
(361) 779-5176
(361) 729-1692
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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