COASTAL BEND CANCER CENTER, PA
Medical Practice at Rodd Field Rd, Corpus Christi, TX

License number
Texas K3846
Category
Medical Practice
Type
Specialist
License number
Texas L5449
Category
Medical Practice
Type
Specialist
License number
Texas K1120
Category
Medical Practice
Type
Specialist
Owner
Name: MS. NORA RODRIGUEZ
Title: OFFICE MANAGER
Phone: (361) 887-0067
Address
Address
1625 Rodd Field Rd SUITE 100, Corpus Christi, TX 78412
National Provider ID: 1043299415
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COASTAL BEND CANCER CENTER, PA

Corpus Christi, TX

Doing business as:
Coastal Bend Cancer Center, PA<br>Emile Salloum,M.D.,P.A
Registration:
Nov 20, 1998
Addresses:
PO Box 3069, Corpus Christi, TX 78463 (Mailing)
1415 Santa Fe St, Corpus Christi, TX 78404
State ID:
0081961803
Business type:
Professional Association
Director, Member, Secretarys:
Emile Salloum (President , Director , Member),Yvonne Manalo (Treasurer , Director , Member),Alfonso Villamil (Director , Member , Vice-President),...
TIN:
32036002700

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