IndividualActive
Michael Phillips, SUB IDC
NPI 1689970535 · Independent Duty Corpsman · Corpus Christi, TX
Provider details
- NPI number
- 1689970535
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUB IDC
- Sex
- Male
- Sole proprietor
- Yes
Practice location
2621 Las Brisas St
Corpus Christi, TX 78414-5014
Phone: (559) 362-4304
Mailing address
2621 Las Brisas St
Corpus Christi, TX 78414-5014
Registry dates
- Enumerated
- 2011-02-09
- Last updated
- 2011-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.