CORPUS CHRISTI ALLERGY & DERMATOLOGY CLINIC PA
Osteopathic Medicine at Staples, Corpus Christi, TX

License number
Texas H3177
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: GARY LYNN SMITH MD
Title: PRESIDENT
Phone: (361) 882-3487
Address
Address
5402 S Staples St SUITE 205, Corpus Christi, TX 78411
National Provider ID: 1447361621
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CORPUS CHRISTI ALLERGY & DERMATOLOGY CLINIC, PA

Corpus Christi, TX

Registration:
Nov 24, 1999
Addresses:
249 Cpe Aron Dr, Corpus Christi, TX 78412 (Mailing)
5402 S Staples St, Corpus Christi, TX 78411
State ID:
0082061403
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Gary L. Smith (President , Treasurer , Secretary , Director , Member , Vice-President)
TIN:
32035997421

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