# GULF COAST AUDIOLOGY

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

## Provider details

- **NPI number:** 1184925471
- **Authorized official:** CLAYTON THOMAS GREEN (AUDIOLOGIST)
- **Authorized official phone:** (361) 573-2500

## Contact information

- **Practice address:** 4203 N. MAIN ST., VICTORIA, TX 77901-2710
- **Practice address phone:** (361) 573-2500
- **Practice address fax:** (361) 573-2506
- **Mailing address:** 4203 N. MAIN ST., VICTORIA, TX 77901
- **Mailing address phone:** (361) 573-2500
- **Mailing address fax:** (361) 573-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 51387 | TX | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 11/03/2010