| Life Branch Inc. | |
|
5262 South Staples Suite 300 Corpus Christi TX 78411-4116 | |
| (361) 332-6551 | |
| (361) 687-2563 |
| Full Name | Life Branch Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5262 South Staples, Corpus Christi, Texas |
| Authorized Official Name and Position | Christina Lea Ketchum (OWNER) |
| Authorized Official Contact | 3613326551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Branch Inc. 5437 King Acres Dr Corpus Christi TX 78414-6301 Ph: (361) 332-6551 | Life Branch Inc. 5262 South Staples Suite 300 Corpus Christi TX 78411-4116 Ph: (361) 332-6551 |
| NPI Number | 1144560574 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144560574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 35072 (Texas) | Primary |
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