Organization
COASTAL BEND INTERNAL MEDICINE PLLC
Active
Other names
Coastal Bend Urgent Care and Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARC IBANEZ MD (OWNER)
(361) 429-7244
Entity
Organization
Contact information
Practice address
1752 SANTA FE ST, CORPUS CHRISTI, TX 78404-1857
(361) 548-6686
Mailing address
1752 SANTA FE ST, CORPUS CHRISTI, TX 78404-1857
(361) 548-6686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4188
TX
208M00000X
Hospitalist Physician
M4188
TX
Other
Enumeration date
04/24/2013
Last updated
02/05/2015
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