Healthcare Provider Details

I. General information

NPI: 1932596343
Provider Name (Legal Business Name): DEWITT MEDICAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4162 WILDCAT DR
CORPUS CHRISTI TX
78410-5100
US

IV. Provider business mailing address

2550 N ESPLANADE ST
CUERO TX
77954-4736
US

V. Phone/Fax

Practice location:
  • Phone: 361-241-2954
  • Fax: 361-241-2964
Mailing address:
  • Phone: 361-275-6191
  • Fax: 361-275-3999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. ALMA ALEXANDER
Title or Position: CFO
Credential:
Phone: 361-275-0504