Lake Corpus Christi Family Medical

NPI #1619143195 in Corpus Christi, Texas

Provider Information

NPI Number
1619143195
Entity Type
Organization
Organization Name
Lake Corpus Christi Family Medical
Primary Specialty
Legal Medicine
Enumeration Date
May 5, 2008
Last Updated
May 5, 2008

Practice Location

Address
4838 HOLLY RD
Address 2
SUITE 209
State
Texas
ZIP Code
78411-4753
Phone
(361) 992-4500

Authorized Official

Name
DR. RONALD G. MUNSON
Title
OWNER/PRESIDENT
Phone
(361) 992-4500

Specialties & Taxonomy Codes

Specialty
Legal Medicine

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