Organization
NUECES COUNTY MHMR COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DAVIS (CEO)
(361) 886-6900
Entity
Organization
Contact information
Practice address
3733 S PORT AVE, CORPUS CHRISTI, TX 78415-4532
(361) 886-6900
(361) 886-1379
Mailing address
PO BOX 71029, CORPUS CHRISTI, TX 78467-1029
(361) 886-6900
(361) 886-1379
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138305108
—
TX
Enumeration date
10/25/2006
Last updated
02/10/2026
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