| Gulf Coast Medical Center | |
|
51 Holmes Blvd Ste A Terrytown LA 70056-2592 | |
| (504) 263-5113 | |
| Not Available |
| Full Name | Gulf Coast Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 51 Holmes Blvd Ste A, Terrytown, Louisiana |
| Authorized Official Name and Position | James Russell (PRESIDENT) |
| Authorized Official Contact | 9855026585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Medical Center 51 Holmes Blvd Ste A Terrytown LA 70056-2592 Ph: () - | Gulf Coast Medical Center 51 Holmes Blvd Ste A Terrytown LA 70056-2592 Ph: (504) 263-5113 |
| NPI Number | 1063915866 |
|---|---|
| Provider Enumeration Date | 03/18/2018 |
| Last Update Date | 03/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063915866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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