Organization
CHRISTI M TUPA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS J HOFFEREK (OFFICE MANAGER)
(361) 573-7900
Entity
Organization
Contact information
Practice address
115 MEDICAL DR, SUITE 208, VICTORIA, TX 77904-3102
(361) 573-7900
(361) 573-7959
Mailing address
115 MEDICAL DR, SUITE 208, VICTORIA, TX 77904-3102
(361) 573-7900
(361) 573-7959
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
L4769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029JV
BLUE CROSS
TX
Enumeration date
07/11/2007
Last updated
02/06/2008
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