| Corpus Christi Better Health Pa | |
|
5833 Spohn Dr Ste 101 Corpus Christi TX 78414-4135 | |
| (361) 993-2020 | |
| (361) 993-0515 |
| Full Name | Corpus Christi Better Health Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5833 Spohn Dr Ste 101, Corpus Christi, Texas |
| Authorized Official Name and Position | Socorro Bolster (ADMINISTRATOR) |
| Authorized Official Contact | 3619932020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corpus Christi Better Health Pa 5833 Spohn Dr Ste 101 Corpus Christi TX 78414-4135 Ph: (361) 993-2020 | Corpus Christi Better Health Pa 5833 Spohn Dr Ste 101 Corpus Christi TX 78414-4135 Ph: (361) 993-2020 |
| NPI Number | 1073642575 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5597144071 |
|---|---|
| Medicare Enrollment ID | O20220614002758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073642575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert John Bolster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033227723 PECOS PAC ID: 0648302323 Enrollment ID: I20100715000341 |
| Provider Name | Sylvia J Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811481302 PECOS PAC ID: 1658750138 Enrollment ID: I20220614003358 |
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