Organization
MATHIS MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAITHAM JIFI MD (DOCTOR)
(361) 991-0112
Entity
Organization
Contact information
Practice address
304 E SAN PATRICIO AVE, MATHIS, TX 78368-2350
(361) 991-0112
(361) 991-0181
Mailing address
5920 SARATOGA BLVD, STE 420, CORPUS CHRISTI, TX 78414-4103
(361) 991-0112
(361) 991-0181
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J9719
TX
261QR1300X
Rural Health Clinic/Center
J9719
TX
Other
Enumeration date
06/02/2009
Last updated
02/02/2015
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