Healthcare Provider Details

I. General information

NPI: 1609807312
Provider Name (Legal Business Name): FREDRICK A MCCURDY MD, PHD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 S ALAMEDA ST STE 210
CORPUS CHRISTI TX
78411-1721
US

IV. Provider business mailing address

3533 S ALAMEDA ST STE 210
CORPUS CHRISTI TX
78411-1721
US

V. Phone/Fax

Practice location:
  • Phone: 361-694-5022
  • Fax: 361-808-2064
Mailing address:
  • Phone: 361-694-5022
  • Fax: 361-808-2154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberG5962
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: