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NPI 1548286172

NPI 1548286172 : DRISCOLL CHILDRENS HOSPITAL : CORPUS CHRISTI, TX

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General NPI Number Information
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    NPI Number           |    1548286172
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRISCOLL CHILDRENS HOSPITAL 
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Dates
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    Enumeration Date     |    07/15/2006
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    Last Update Date     |    06/12/2024
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Provider Practice Location Address
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    Address Line         |    3533 SOUTH ALAMEDA STREET 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78411-1721
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    Country              |    US
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    Telephone            |    361-694-4833
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    Fax                  |    361-694-5050
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Provider Business Mailing Address
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    Address Line         |    P O BOX 926 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78294
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    Country              |    US
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    Telephone            |    361-694-5111
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    Fax                  |    361-694-5050
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |    MR. ERIC  HAMON 
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    Credential           |    
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    Telephone            |    361-694-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    133VN1004X
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    Taxonomy Name        |    Pediatric Nutrition Registered Dietitian
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    261QE0700X
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    Taxonomy Name        |    End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    282NC2000X
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    Taxonomy Name        |    Children's Hospital
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    License Number       |    000488
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    License Number State |    TX
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