| Coastal Health & Wellness | |
|
1805 13th Ave N Texas City TX 77590-5498 | |
| (409) 938-2234 | |
| Not Available |
| Full Name | Coastal Health & Wellness |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1805 13th Ave N, Texas City, Texas |
| Authorized Official Name and Position | Ami Cotharn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4099382218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Health & Wellness Po Box 939 La Marque TX 77568-0939 Ph: (409) 938-2218 | Coastal Health & Wellness 1805 13th Ave N Texas City TX 77590-5498 Ph: (409) 938-2234 |
| NPI Number | 1619667565 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619667565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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