| Organization Name: | MCH OF CORPUS CHRISTI, INC. |
| NPI Number: | 1376649517 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTOINE POYTHRESS (DIVISIONAL CONTROLLER) |
| Mailing Address: | 1801 E Main St Suite B Alice |
| State: | TX US |
| Postal Code: | 783324140 |
| Phone Number: | 8003620922 |
| Fax Number: | 3618511175 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |