| NPI | 1437349537 |
|---|---|
| Doing Business As | CORRIDOR MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CURTIS P. CLOGSTON Medical Director 512-392-5556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: TX MDF1457TX) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX PT1140044TX) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 660250) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-08-19 |