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Organization

CORPUS CHRISTI VASCULAR PA

Active
Parent organization
EAST TEXAS SURGICAL ASSOCIATES, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST TEXAS SURGICAL ASSOCIATES, PA
Authorized official
DR. LLEWELLYN LEE MD (OWNER/PHYSICIAN)
(915) 760-1987
Entity
Organization

Contact information

Practice address
1521 S STAPLES ST STE 511, CORPUS CHRISTI, TX 78404-3150
(361) 882-4000
Mailing address
1521 S STAPLES ST STE 511, CORPUS CHRISTI, TX 78404-3150
(361) 882-4000

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
07/01/2024
Last updated
07/01/2024
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