| Gulf Coast Medical Center | |
|
10141 Us 59 Rd Wharton TX 77488-7224 | |
| (979) 282-6141 | |
| (979) 282-6036 |
| Full Name | Gulf Coast Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 10141 Us 59 Rd, Wharton, Texas |
| Authorized Official Name and Position | Nancy S Montello (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 9792826141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Medical Center Po Box 4869, Dept 407a Houston TX 77210-4869 Ph: (979) 282-6141 | Gulf Coast Medical Center 10141 Us 59 Rd Wharton TX 77488-7224 Ph: (979) 282-6141 |
| NPI Number | 1851522924 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851522924 | NPI | - | NPPES |
| 178848101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 008330 (Texas) | Primary |
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