The Gulf Coast Center | |
4444 W Main St League City TX 77573-1737 | |
(409) 763-2373 | |
(409) 978-2401 |
Full Name | The Gulf Coast Center |
---|---|
Speciality | Community/behavioral Health |
Location | 4444 W Main St, League City, Texas |
Authorized Official Name and Position | Rick Elizondo (CFO) |
Authorized Official Contact | 4097632373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Gulf Coast Center 4444 W Main St League City TX 77573-1737 Ph: (409) 763-2373 | The Gulf Coast Center 4444 W Main St League City TX 77573-1737 Ph: (409) 763-2373 |
NPI Number | 1992848634 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 06/28/2024 |
Certification Date | 06/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992848634 | NPI | - | NPPES |
135222101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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