| Coastal Hyperbarx LLC | |
|
3420 Bienville Blvd Ste B Ocean Springs MS 39564-5732 | |
| (251) 622-0809 | |
| Not Available |
| Full Name | Coastal Hyperbarx LLC |
|---|---|
| Speciality | Preventive Medicine |
| Location | 3420 Bienville Blvd Ste B, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Christopher Erik Bowen (OWNER) |
| Authorized Official Contact | 7183621411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Hyperbarx LLC 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Coastal Hyperbarx LLC 3420 Bienville Blvd Ste B Ocean Springs MS 39564-5732 Ph: (251) 622-0809 |
| NPI Number | 1376354159 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Medicare PECOS PAC ID | 4385166479 |
|---|---|
| Medicare Enrollment ID | O20250318002715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376354159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | () | Primary |
| Provider Name | Tyler Dean Sexton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356607857 PECOS PAC ID: 5799925129 Enrollment ID: I20150730013338 |
| Provider Name | Christopher Bowen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720344583 PECOS PAC ID: 2365682622 Enrollment ID: I20160808000859 |
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