MEDICARE: SARATOGA MEDICAL CENTER

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
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	E2071	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669627428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARATOGA MEDICAL CENTER

Provider Business Mailing Address
First Line	:	3434 SARATOGA BLVD
Second Line	:	STE 103
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-5822
Country	:	US
Telephone Number	:	361-232-5710
Fax Number	:	361-232-5713

Provider Business Practice Location Address
First Line	:	3434 SARATOGA BLVD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-5822
Country	:	US
Telephone Number	:	361-852-0852
Fax Number	:	361-852-0256

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. JO CRUZ
Credential	:
Telephone Number	:	361-852-0852

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	11/20/2008

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1104128990 — PRONTOMED CLINIC, PLLC
Practice Location Address:

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Directions to “SARATOGA MEDICAL CENTER ” Practice Location

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