Healthcare Provider Details

I. General information

NPI: 1154339380
Provider Name (Legal Business Name): ANTHONY FRANCIS ASISTIDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 ELIZABETH ST STE. 702
CORPUS CHRISTI TX
78404-2220
US

IV. Provider business mailing address

613 ELIZABETH ST STE. 702
CORPUS CHRISTI TX
78404-2220
US

V. Phone/Fax

Practice location:
  • Phone: 361-883-4803
  • Fax: 361-883-4804
Mailing address:
  • Phone: 361-883-4803
  • Fax: 361-883-4804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK6530
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberK6530
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: