Organization
DRISCOLL CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ERIC HAMON (CFO)
(361) 694-4602
Entity
Organization
Contact information
Practice address
3533 S. ALAMEDA, CORPUS CHRISTI, TX 78411-1721
(361) 694-5000
(361) 808-2089
Mailing address
3533 S. ALAMEDA, CORPUS CHRISTI, TX 78411-1721
(361) 694-5000
(361) 808-2089
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008106
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
110249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132812208
ESRD -TRADITIONAL MEDICAID
TX
01
—
132812209
ESRD -MEDICAID CSHCN
TX
05
—
1689067910
—
TX
Enumeration date
08/05/2008
Last updated
11/19/2024
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