Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COASTAL VASCULAR & VEIN CENTER, LLC
Active
Organization
COASTAL VASCULAR & VEIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARYD STEIN (CMO)
(214) 392-4976
Entity
Organization
Contact information
Practice address
1327 ASHLEY RIVER RD, CHARLESTON, SC 29407-5384
(843) 577-4551
(843) 577-2227
Mailing address
8135 FOREST LN # 515057, DALLAS, TX 75230-2472
(843) 577-4551
(843) 577-2227
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
SC
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0489056
AETNA
SC
01
—
610303400
U S DEPARTMENT OF LABOR
SC
05
—
PA1729
—
SC
Enumeration date
02/05/2007
Last updated
09/01/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up