Provider Demographics
NPI:1790007813
Name:UNION TREATMENT CENTERS
Entity Type:Organization
Organization Name:UNION TREATMENT CENTERS
Other - Org Name:UNION TREATMENT CENTERS-CORPUS CHRISTI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-323-6900
Mailing Address - Street 1:1521 S STAPLES ST STE 803
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3187
Mailing Address - Country:US
Mailing Address - Phone:361-882-9675
Mailing Address - Fax:361-882-9681
Practice Address - Street 1:1521 S STAPLES ST STE 803
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3187
Practice Address - Country:US
Practice Address - Phone:361-882-9675
Practice Address - Fax:361-882-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7355111N00000X
TXL8215208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty