Provider Demographics
NPI:1487942140
Name:APSP-CORPUS CHRISTI, LLC
Entity type:Organization
Organization Name:APSP-CORPUS CHRISTI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-2732
Mailing Address - Street 1:5402 HOLLY RD
Mailing Address - Street 2:SUITE 2102
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:405-285-2732
Mailing Address - Fax:214-276-1359
Practice Address - Street 1:5402 HOLLY RD
Practice Address - Street 2:SUITE 2102
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:405-285-2732
Practice Address - Fax:214-276-1359
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APNEA SPECIALIST, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory