# COASTAL MEDICAL SERVICES DME & SUPPLY, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558302414
- **Authorized official:** MRS. IMEH OKPON-JACK (GENERAL MANAGER)
- **Authorized official phone:** (281) 980-2057

## Contact information

- **Practice address:** 13004 MURPHY RD, SUITE 218, STAFFORD, TX 77477-3971
- **Practice address phone:** (281) 980-2057
- **Practice address fax:** (281) 980-2067
- **Mailing address:** 13004 MURPHY RD, 218, STAFFORD, TX 77477-3971
- **Mailing address phone:** (281) 980-2057
- **Mailing address fax:** (281) 980-2067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0068682 | TX | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 11/24/2010