# COASTAL MEDICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1144305004
- **Authorized official:** MRS. IMEH OKPON JACK RN (DON/ALTERNATE ADMINISTRATOR)
- **Authorized official phone:** (713) 771-8470

## Contact information

- **Practice address:** 8303 SOUTHWEST FWY STE 820, HOUSTON, TX 77074-1638
- **Practice address phone:** (713) 771-8470
- **Practice address fax:** (713) 771-8474
- **Mailing address:** 8303 SOUTHWEST FWY STE 820, HOUSTON, TX 77074-1638
- **Mailing address phone:** (713) 771-8470
- **Mailing address fax:** (713) 771-8474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 005445 | TX | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 02/02/2012