Organization
LAWRENCE E NELSON DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BRANNIGAN (CREDENTIALING SPECIALIST)
(361) 985-1221
Entity
Organization
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1833
(361) 985-1221
Mailing address
PO BOX 6696, CORPUS CHRISTI, TX 78466-6696
(361) 985-1221
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q2352
TX
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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