Branch Medical Clinic Kingsville

NPI #1770542060 in Kingsville, Texas

Provider Information

NPI Number: 1770542060
Entity Type: Organization
Organization Name: Branch Medical Clinic Kingsville
Subpart: Yes (part of a larger organization)
Parent Organization: NAVAL HEALTH CLINIC CORPUS CHRISTI
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Mar 23, 2006
Last Updated: May 25, 2018

Practice Location

Address: 739 FORRESTALL DRIVE
Address 2: NAS SUITE 101
City: Kingsville
State: Texas
ZIP Code: 78363
Phone: (361) 961-6079

Authorized Official

Name: WILLIAM M CONDON
Title: BUMED UBO
Phone: (240) 401-3643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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