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Organization

OB-GYN SURGICAL ASSIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE MARIE AVALOS RNFA (OWNER)
(760) 731-0313
Entity
Organization

Contact information

Practice address
226 W VANDERBILT DR, CORPUS CHRISTI, TX 78415-4735
(361) 249-8204
(888) 329-6432
Mailing address
PO BOX 71092, CORPUS CHRISTI, TX 78467-1092
(361) 249-8204
(888) 329-6432

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
670385
TX

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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