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Contact Information

AMBULATORY ADULT NEUROLOGY, PA
5402 HOLLY ROAD
SUITE 2102
CORPUS CHRISTI, TX78411
 Phone: 361-882-9100
 Fax: 361-882-9194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for AMBULATORY ADULT NEUROLOGY, PA

NPI Number 1689872269
LBN Legal business name AMBULATORY ADULT NEUROLOGY, PA
Authorized official JUAN SANTOS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2007
Last updated 01/29/2014 - About 12 years ago
Identifiers
TX License # H2754
TX Medicaid 148759701
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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