| NPI | 1518987031 |
|---|---|
| Doing Business As | PADRE COAST MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GINA BANUELOS Billing 361-881-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1921) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-11-14 |