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1891828026
AFFILLIATED DERMATOLOGISTS OF CORPUS CHRISTI P.A.
CORPUS CHRISTI, TX
NPI
1891828026
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Entity Type
Organization
Authorized Contact
DONALD L. IDEN
President
361-993-9363
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-03-14
Last Update Date
2020-08-22
Business Address
AFFILLIATED DERMATOLOGISTS OF CORPUS CHRISTI P.A.
4521 S STAPLES ST STE 100
CORPUS CHRISTI, TX 78411-2603
Phone number: 361-993-9363
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Mailing Address
AFFILLIATED DERMATOLOGISTS OF CORPUS CHRISTI P.A.
4521 S STAPLES ST STE 100
CORPUS CHRISTI, TX 78411-2603
Phone number: 361-993-9363
Copy
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