MR. Keith Austin Wommack, C.S.B.
NPI #1235402447 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1235402447
- Entity Type
- Individual
- Name
- MR. Keith Austin Wommack, C.S.B.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Religious Nonmedical Practitioner
- Credential
- C.S.B.
- Enumeration Date
- Feb 17, 2012
- Last Updated
- Feb 17, 2012
Practice Location
- Address
- 514 RONSON DR
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78412-3152
- Phone
- (361) 992-2487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Practitioner |
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