Organization
GULF COAST PROFESSIONAL MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BALES (MANAGER)
(281) 333-1300
Entity
Organization
Contact information
Practice address
18333 EGRET BAY BLVD, SUITE 200, HOUSTON, TX 77058-3860
(281) 333-1300
Mailing address
18333 EGRET BAY BLVD, SUITE 200, HOUSTON, TX 77058-3860
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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