# COASTAL BEND ORTHOPEDICS SUPPLY, INC.

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

## Provider details

- **NPI number:** 1407082597
- **Authorized official:** JESUS E GARCIA (PRESIDENT)
- **Authorized official phone:** (361) 668-8500

## Contact information

- **Practice address:** 301 N KING ST, ALICE, TX 78332-4761
- **Practice address phone:** (361) 668-8500
- **Practice address fax:** (361) 668-8503
- **Mailing address:** PO BOX 1460, ALICE, TX 78333-1460
- **Mailing address phone:** (361) 668-8500
- **Mailing address fax:** (361) 668-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2009
- **Last updated:** 07/08/2010