| Coastal Health & Wellness | |
|
9850c Emmett F Lowry Expy Ste C103 Texas City TX 77591-2122 | |
| (409) 938-2234 | |
| (099) 382-2004 |
| Full Name | Coastal Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 9850c Emmett F Lowry Expy Ste C103, Texas City, Texas |
| Authorized Official Name and Position | Donna Salcido (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4099382240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Health & Wellness Po Box 939 La Marque TX 77568-0939 Ph: (409) 938-2240 | Coastal Health & Wellness 9850c Emmett F Lowry Expy Ste C103 Texas City TX 77591-2122 Ph: (409) 938-2234 |
| NPI Number | 1578588406 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 0143215954 |
|---|---|
| Medicare Enrollment ID | O20090403000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578588406 | NPI | - | NPPES |
| 0190530-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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