Organization
COASTAL FAMILY MEDICINE ASSOCIATES, PA
Active
Other names
Bayside Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D JOHNSON DO (PRESIDENT)
(361) 857-0178
Entity
Organization
Contact information
Practice address
3817 S PADRE ISLAND DRIVE, CORPUS CHRISTI, TX 78415
(361) 857-0178
(361) 855-4123
Mailing address
PO BOX 271626, CORPUS CHRISTI, TX 78427
(361) 857-0178
(361) 855-4123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7647
TX
207Q00000X
Family Medicine Physician
J8607
TX
Other
Enumeration date
07/13/2006
Last updated
07/14/2010
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