Provider Demographics
NPI:1164509659
Name:EVERETT, OREL MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:OREL
Middle Name:MICHAEL
Last Name:EVERETT
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7121 S.P.I.D.
Mailing Address - Street 2:STE #300
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3425
Mailing Address - Country:US
Mailing Address - Phone:361-696-6200
Mailing Address - Fax:361-696-6054
Practice Address - Street 1:7121 S PADRE ISLAND DR
Practice Address - Street 2:SUITE #300
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4938
Practice Address - Country:US
Practice Address - Phone:361-696-6200
Practice Address - Fax:361-696-6054
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1189207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine