Basic Information
| Provider Information | |||||||||
| NPI: | 1679927081 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI-MEMORIAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2606 HOSPITAL BLVD | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784051833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619026570 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2606 HOSPITAL BLVD | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784051833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619026570 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2016 | ||||||||
| LastUpdateDate: | 04/21/2016 | ||||||||
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| AuthorizedOfficialLastName: | MCCREERY | ||||||||
| AuthorizedOfficialFirstName: | CAROLYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER, GRADUATE MEDICAL EDUCATION | ||||||||
| AuthorizedOfficialTelephone: | 3619026570 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MISS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.