# COASTAL BEND HOUSE CALLS

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

## Provider details

- **NPI number:** 1104433531
- **Authorized official:** JARROD OLDHAM FNP-C (OWNER)
- **Authorized official phone:** (361) 985-1221

## Contact information

- **Practice address:** 4444 CORONA DR STE 130, CORPUS CHRISTI, TX 78411-4322
- **Practice address phone:** (361) 992-4500
- **Practice address fax:** (361) 992-4502
- **Mailing address:** 4444 CORONA DR STE 130, CORPUS CHRISTI, TX 78411-4322
- **Mailing address phone:** (361) 992-4500
- **Mailing address fax:** (361) 992-4502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 09/29/2020