Provider Demographics
NPI:1669503009
Name:NUECES COUNTY WOMEN'S CLINIC, PA
Entity Type:Organization
Organization Name:NUECES COUNTY WOMEN'S CLINIC, PA
Other - Org Name:CORPUS CHRISTI WOMEN'S CLINIC, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:WINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-851-5000
Mailing Address - Street 1:7121 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4938
Mailing Address - Country:US
Mailing Address - Phone:361-851-5000
Mailing Address - Fax:351-851-8053
Practice Address - Street 1:7121 S PADRE ISLAND DR
Practice Address - Street 2:SUITE 302
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4938
Practice Address - Country:US
Practice Address - Phone:361-851-5000
Practice Address - Fax:351-851-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX084471401Medicaid
TX084471401Medicaid