Provider Demographics
NPI:1487866943
Name:NUECES COUNTY
Entity Type:Organization
Organization Name:NUECES COUNTY
Other - Org Name:CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:LABORATORY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEATHERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH MT(ASCP)
Authorized Official - Phone:361-851-7214
Mailing Address - Street 1:1702 HORNE RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416-1902
Mailing Address - Country:US
Mailing Address - Phone:361-851-7214
Mailing Address - Fax:
Practice Address - Street 1:1702 HORNE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-1902
Practice Address - Country:US
Practice Address - Phone:361-851-7214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare