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Organization
TEXAS GULF COAST MEDICAL SYSTEM, INC
Active
Organization
TEXAS GULF COAST MEDICAL SYSTEM, INC
Active
Other names
Texas Gulf Coast Medical System, Texas Gulf Coast Medical Group, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS TANG MD (PRESIDENT)
(281) 604-1300
Entity
Organization
Contact information
Practice address
250 BLOSSOM ST STE 300, WEBSTER, TX 77598
(281) 604-1300
(281) 724-0385
Mailing address
250 BLOSSOM ST STE 300, WEBSTER, TX 77598-4241
(281) 604-1300
(281) 724-0385
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Q51D
BCBS
TX
05
—
085609802
—
TX
05
—
085609803
—
TX
01
—
624145
MEDICARE
TX
01
—
624147
MEDICARE
TX
01
—
7677730001
MEDICARE DME
TX
01
—
DX9600
MEDICARE RAILROAD
TX
Enumeration date
08/30/2006
Last updated
07/10/2018
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