Healthcare Provider Details

I. General information

NPI: 1730468588
Provider Name (Legal Business Name): COASTAL BEND WOMEN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 SPID DR STE 200
CORPUS CHRISTI TX
78412-4940
US

IV. Provider business mailing address

7121 SPID DR STE 200
CORPUS CHRISTI TX
78412-4940
US

V. Phone/Fax

Practice location:
  • Phone: 361-993-6000
  • Fax: 361-993-3676
Mailing address:
  • Phone: 361-993-6000
  • Fax: 361-993-3676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number544714
License Number StateTX

VIII. Authorized Official

Name: MARIA A. PIZZARRO
Title or Position: PARTNER
Credential: MD
Phone: 361-993-6000