Organization
GULF COAST BEHAVIORAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA FALCON (BUSINESS DIRECTOR)
(956) 358-2723
Entity
Organization
Contact information
Practice address
3126 RODD FIELD RD, CORPUS CHRISTI, TX 78414-3901
(361) 452-6898
(361) 458-6870
Mailing address
3126 RODD FIELD RD, CORPUS CHRISTI, TX 78414-3901
(361) 452-6898
(361) 452-6870
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351321001
—
TX
Enumeration date
06/03/2015
Last updated
10/08/2020
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