Provider Demographics
NPI:1831445014
Name:DRISCOLL CHILDRENS HOSPITAL
Entity type:Organization
Organization Name:DRISCOLL CHILDRENS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:GOURABATHINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-556-4477
Mailing Address - Street 1:3333 S ALAMEDA ST
Mailing Address - Street 2:APT #5E
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1800
Mailing Address - Country:US
Mailing Address - Phone:551-556-4477
Mailing Address - Fax:
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:DRISCOLL CHILDRENS HOSPITAL, MEDICAL EDUCATION
Practice Address - City:CORPUS CHIRSTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:551-556-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren