Organization
COASTAL PHYSICIAN GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE CISNEROS RAMOS JR. DO (CEO)
(361) 883-8887
Entity
Organization
Contact information
Practice address
345 S WATER ST, CORPUS CHRISTI, TX 78401-2819
(361) 500-0600
(361) 500-0571
Mailing address
6113 SARATOGA BLVD, SUITE F #148, CORPUS CHRISTI, TX 78414-2492
(361) 883-8887
(361) 792-2513
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
01/22/2021
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