Provider Demographics
NPI:1093016867
Name:DANIELA BADEA-MIC
Entity Type:Organization
Organization Name:DANIELA BADEA-MIC
Other - Org Name:COMPREHENSIVE MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADEA-MIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-850-8300
Mailing Address - Street 1:527 GORDON ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2535
Mailing Address - Country:US
Mailing Address - Phone:361-850-8300
Mailing Address - Fax:361-850-8302
Practice Address - Street 1:527 GORDON ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2535
Practice Address - Country:US
Practice Address - Phone:361-850-8300
Practice Address - Fax:361-850-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4486208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ4486OtherTEXAS MEDICAL BOARD