Organization
GULF COAST MEDICAL LOGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISHNAN SHIVSHANKER (PRESIDENT)
(713) 202-8824
Entity
Organization
Contact information
Practice address
1631 NORTH LOOP W STE 510, HOUSTON, TX 77008-1531
(713) 202-8824
Mailing address
6003 WOODBROOK LN, HOUSTON, TX 77008-6367
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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