# GULF COAST HEALTHCARE GROUP

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

## Provider details

- **NPI number:** 1780814152
- **Authorized official:** KWESI A DARQUAH (PRESIDENT)
- **Authorized official phone:** (469) 245-0980

## Contact information

- **Practice address:** 12989 JUPITER RD, SUITE 104, DALLAS, TX 75238-3212
- **Practice address phone:** (469) 254-0980
- **Practice address fax:** (972) 429-9233
- **Mailing address:** 301 W KIRBY ST, SUITE 233, WYLIE, TX 75098-4194
- **Mailing address phone:** (469) 254-0980
- **Mailing address fax:** (972) 429-9233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 07/20/2009