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Pearl Diana Mwansa, MD
Family Medicine Physician in Corpus Christi, Texas
NPI 1487033650

Pearl Diana Mwansa is a Family Medicine Physician based in Texarkana, TX. Pearl Diana Mwansa practices in Corpus Christi, TX and has the professional credentials of MD. The NPI Number for Pearl Diana Mwansa is 1487033650 and holds a License No. BP10054275 (Texas).

The current practice location address for Pearl Diana Mwansa is 2606 Hospital Blvd Ste B, Corpus Christi, TX and can be reached out via phone at 361-902-4789 and via fax at 361-902-4588.

Location: 2606 Hospital Blvd Ste B, Corpus Christi, TX, 75503-5211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487033650
Provider Name
Pearl Diana Mwansa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2606 Hospital Blvd Ste B, Corpus Christi, TX, 75503-5211
Phone Number
361-902-4789
Fax Number
361-902-4588
Provider Enumeration Date
05/21/2015
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1L5069 01 TX MEDICARE
395038802 05 TX
P02601796 01 TX MCRR
institution
Provider Business Practice Location Address Details
Address
2606 Hospital Blvd Ste B
City
Corpus Christi
State
Texas
Zip
78405
Phone Number
361-902-4789
Fax Number
361-902-4588
person
Provider Business Mailing Address Details
Address
2606 Hospital Blvd Ste B
City
Corpus Christi
State
Texas
Zip
78405
Phone Number
361-902-4789
Fax Number
361-902-4588
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R3719 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10054275 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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