Organization
CORPUS CHRISTI GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCOTT MITCHELL MD (OWNER)
(361) 991-7109
Entity
Organization
Contact information
Practice address
6421 SARATOGA BLVD., BLDG. 106, CORPUS CHRISTI, TX 78414-3480
(361) 991-7109
(361) 991-5213
Mailing address
6421 SARATOGA BLVD., BLDG. 106, CORPUS CHRISTI, TX 78414-3480
(361) 991-7109
(361) 991-5213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080318101
—
TX
01
—
CI2751
RAILROAD MEDICARE
TX
Enumeration date
08/03/2006
Last updated
01/20/2022
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