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NPI Code Detail

MEDICARE: DR. CELIA ABELEDA GO-MALIWANAG M.D.

MEDICARE: DR. CELIA ABELEDA GO-MALIWANAG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianK9542TX

General Provider Information

NPI Number : 1669458238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELIA ABELEDA GO-MALIWANAG M.D.
Provider Business Mailing Address
First Line : 8013 ETIENNE DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-6027
Country : US
Telephone Number : 361-993-2405
Fax Number : 361-993-2405
Provider Business Practice Location Address
First Line : 10651 E ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78419-5130
Country : US
Telephone Number : 361-961-6000
Fax Number : 361-961-2399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 07/08/2007

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