Basic Information
| Provider Information | |||||||||
| NPI: | 1265665475 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DRISCOLL CHILDREN'S HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3533 S ALAMEDA ST | ||||||||
| Address2: | PERINATOLOGY | ||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784111721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619801244 | ||||||||
| FaxNumber: | 3619801248 | ||||||||
| Practice Location | |||||||||
| Address1: | 7121 S PADRE ISLAND DR | ||||||||
| Address2: | 303 | ||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784124938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619801244 | ||||||||
| FaxNumber: | 3619801248 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2009 | ||||||||
| LastUpdateDate: | 09/03/2009 | ||||||||
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| AuthorizedOfficialLastName: | ARREGUIN | ||||||||
| AuthorizedOfficialFirstName: | CHRISTI | ||||||||
| AuthorizedOfficialMiddleName: | NICOLE | ||||||||
| AuthorizedOfficialTitleorPosition: | GENETIC COUNSELOR | ||||||||
| AuthorizedOfficialTelephone: | 3619801244 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | MS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QG0250X | Y | Ambulatory Health Care Facilities | Clinic/Center | Genetics |
No ID Information.