Organization
SOUTHSIDE SPECIALTY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL LOPEZ MD (PHYSICIAN)
(361) 225-0089
Entity
Organization
Contact information
Practice address
6005 HOLLY RD, CORPUS CHRISTI, TX 78412
(361) 548-3334
Mailing address
6025 BROADMOOR DR, CORPUS CHRISTI, TX 78413-2714
(361) 548-3334
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
07/24/2019
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