Healthcare Provider Details

I. General information

NPI: 1275945776
Provider Name (Legal Business Name): NHC CORPUS CHRISTI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 FORRESTAL ST BLDG 3775
KINGSVILLE TX
78363
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC CORPUS CHRISTI 10651 E ST STE 2031
CORPUS CHRISTI TX
78419-5130
US

V. Phone/Fax

Practice location:
  • Phone: 361-516-6455
  • Fax: 361-516-6109
Mailing address:
  • Phone: 361-516-6455
  • Fax: 361-516-6109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HECTOR CHIEF DHA POSC MORALES
Title or Position: BUMED UBO
Credential:
Phone: 210-536-6650