Executive Medical Clinic in Corpus Christi - Multi-specialty
Executive Medical Clinic - NPI 1265634083
Executive Medical Clinic is a Multi-specialty in Corpus Christi, Texas. Executive Medical Clinic practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Executive Medical Clinic is 1265634083. The last update date is 2020-08-22.
Executive Medical Clinic's current location address is 2601 Hospital Blvd, Corpus Christi, Texas. You can contact this provider via phone number 3618848209 and fax number 3618826649. The mailing address for Executive Medical Clinic is 2601 Hospital Blvd, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Executive Medical Clinic |
|---|---|
| Address | 2601 Hospital Blvd, Corpus Christi, Texas |
| Phone Number | 3618848209 |
| Fax Number | 3618826649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burgin C.J. |
| Telephone Number | 2107679042 |
NPI Number Detail
| NPI Number | 1265634083 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2601 Hospital Blvd |
|---|---|
| City | Corpus Christi |
| State | Texas (TX) |
| Post Code | 784051815 |
| Phone Number | 3618848209 |
| Fax Number | 3618826649 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
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Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the Executive Medical Clinic's 1265634083?
The Executive Medical Clinic's NPI (National Provider Identifier) Number is 1265634083. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Executive Medical Clinic's physical address?
The Executive Medical Clinic is physically located at 2601 Hospital Blvd, in the city of Corpus Christi, TX, with the postal code 784051815.
What is Executive Medical Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Executive Medical Clinic's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
On what date did the Executive Medical Clinic receive its 1265634083 assignment from the Centers for Medicare & Medicaid Services?
The Executive Medical Clinic was assigned its 1265634083 by the Centers for Medicare & Medicaid Services on 2007-06-04.
When was the information pertaining to Executive Medical Clinic most recently updated or revised?
The details related to Executive Medical Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.