Bivona, Charles Lee

Bivona, Charles Lee is an individual health care provider with primary practice located at 6130 Parkway Dr , Corpus Christi TX 78414-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bivona, Charles Lee can be contacted via phone (361) 883-6211.

Contact Information

Primary practice address
6130 Parkway Dr Corpus Christi TX 78414-2455
Phone: (361) 883-6211
Fax: (361) 882-4891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H0185 Texas

Profile Details

NPI number 1902899909
LBN Legal business name Bivona, Charles Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Oct 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902899909 NPPES
Texas MEDICAID 125121701

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