Healthcare Provider Details

I. General information

NPI: 1528015096
Provider Name (Legal Business Name): DRISCOLL PHYSICIANS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 SOUTH ALAMEDA SUITE H-100
CORPUS CHRISTI TX
78411-1721
US

IV. Provider business mailing address

3533 SOUTH ALAMEDA SUITE 200
CORPUS CHRISTI TX
78411-1721
US

V. Phone/Fax

Practice location:
  • Phone: 361-694-5086
  • Fax: 361-855-9518
Mailing address:
  • Phone: 361-694-5082
  • Fax: 361-694-4641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NORMA C CHAPA
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 361-694-5082