Organization
BAY CARDIOVASCULAR SURGERY PA
Active
Other names
Bay Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LOFTON NATHANIEL MISICK M.D. (OWNER)
(361) 761-8610
Entity
Organization
Contact information
Practice address
819 AYERS ST, CORPUS CHRISTI, TX 78404-1914
(361) 761-8610
(361) 761-8611
Mailing address
ID#1177, PO BOX 659506, SAN ANTONIO, TX 78265-9506
(361) 761-8610
(361) 761-8611
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Q7428
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367177801
—
TX
Enumeration date
09/27/2016
Last updated
08/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us