Individual provider · Type 1 NPI
Keith Austin Wommack, C.S.B.
Religious Nonmedical Practitioner · Corpus Christi, TX
NPI number
1235402447
Active
Practice location
514 Ronson Dr
Corpus Christi, TX 78412-3152
Fax (361) 991-6310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1235402447
Keith Austin Wommack, C.S.B.'s National Provider Identifier is 1235402447, issued on Feb 17, 2012. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Corpus Christi, TX. The record was last updated on Feb 17, 2012.