# GCMC OF WHARTON COUNTY TEXAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013910868
- **Authorized official:** MR. KEVIN D CRANDALL (CIO)
- **Authorized official phone:** (480) 650-7534

## Contact information

- **Practice address:** 10141 US 59 RD, WHARTON, TX 77488-7224
- **Practice address phone:** (979) 282-6141
- **Practice address fax:** (979) 282-6036
- **Mailing address:** PO BOX 4869, DEPT 407A, HOUSTON, TX 77210-4869
- **Mailing address phone:** (480) 650-7534
- **Mailing address fax:** (480) 219-5572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 008330 | TX | — |
| 282N00000X | General Acute Care Hospital | 100142 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 10/18/2016