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Organization
GULF COAST VISION CENTER, INC.
Active
Organization
GULF COAST VISION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELITA GREEN (DIRECTOR)
(832) 628-5126
Entity
Organization
Contact information
Practice address
2636 SOUTH LOOP WEST, SUITE 500, HOUSTON, TX 77054-0001
(713) 790-0513
(713) 790-0514
Mailing address
11601 SHADOW CREEK PKWY # 111-543, PEARLAND, TX 77584-7283
(713) 790-0513
(713) 790-0514
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7460TG
TX
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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