Healthcare Provider Details

I. General information

NPI: 1952361248
Provider Name (Legal Business Name): VAN H SAVELL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/19/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 S ALAMEDA ST
CORPUS CHRISTI TX
78411-1721
US

IV. Provider business mailing address

3533 S ALAMEDA ST
CORPUS CHRISTI TX
78411-1721
US

V. Phone/Fax

Practice location:
  • Phone: 361-694-5427
  • Fax: 361-808-2142
Mailing address:
  • Phone: 361-694-5427
  • Fax: 361-808-2142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License NumberL3111
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: