# SOUTH COAST HEALTH CARE OF TEXAS, PA

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

## Provider details

- **NPI number:** 1508882036
- **Authorized official:** DON MCKAY (CEO)
- **Authorized official phone:** (361) 572-0333

## Contact information

- **Practice address:** 2700 CITIZENS PLZ STE 100, VICTORIA, TX 77901-5756
- **Practice address phone:** (361) 579-1371
- **Practice address fax:** (361) 579-1373
- **Mailing address:** 1908 N LAURENT ST STE 410, VICTORIA, TX 77901-5469
- **Mailing address phone:** (361) 572-0333
- **Mailing address fax:** (361) 572-8518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 05/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0081AX | BLUE CROSS | TX |
| 05 | — | 081198601 | — | TX |