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NPI Code Detail

MEDICARE: PRIMARY & DIAGNOSTIC MEDICAL CENTERS OF TEXAS

MEDICARE: PRIMARY & DIAGNOSTIC MEDICAL CENTERS OF TEXAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianM3637TX

General Provider Information

NPI Number : 1073627071
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY & DIAGNOSTIC MEDICAL CENTERS OF TEXAS
Provider Business Mailing Address
First Line : PO BOX 271567
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78427-1567
Country : US
Telephone Number : 361-906-2121
Fax Number : 361-906-2264
Provider Business Practice Location Address
First Line : 3829 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-5814
Country : US
Telephone Number : 361-906-2121
Fax Number : 361-906-2264
Authorized Official
Title or Position : PRESIDENT
Name : MARIO A MARTINEZ
Credential : M.D.
Telephone Number : 361-906-2121
Provider Enumeration Date : 08/18/2006
Last Update Date : 03/31/2014

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Directions to “PRIMARY & DIAGNOSTIC MEDICAL CENTERS OF TEXAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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