Theriot, Eugene Charles

Theriot, Eugene Charles is an individual health care provider with primary practice located at 613 Elizabeth St Suite 605, Corpus Christi TX 78404-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Theriot, Eugene Charles can be contacted via phone (361) 883-6211.

Contact Information

Primary practice address
613 Elizabeth St Suite 605 Corpus Christi TX 78404-2220
Fax: (361) 882-4891
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X J1797 Texas

Profile Details

NPI number 1396738308
LBN Legal business name Theriot, Eugene Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 30th, 2010 - about 14 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 1396738308 NPPES
Texas MEDICAID 1265803 02

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