# COASTAL BEND WELLNESS FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063808566
- **Authorized official:** MR. BILL JERON HOELSCHER (CEO)
- **Authorized official phone:** (361) 814-2001

## Contact information

- **Practice address:** 5633 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78411-4646
- **Practice address phone:** (361) 814-2001
- **Practice address fax:** (361) 814-6502
- **Mailing address:** 5633 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78411-4646
- **Mailing address phone:** (361) 814-2001
- **Mailing address fax:** (361) 814-6502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/10/2015
- **Last updated:** 04/10/2015