Organization
COASTAL BEND PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KENYON MD (DIRECTOR)
(361) 991-0911
Entity
Organization
Contact information
Practice address
1860 US HIGHWAY 181, SUITE C, PORTLAND, TX 78374
(361) 991-0911
Mailing address
4141 S STAPLES ST, STE. 101, CORPUS CHRISTI, TX 78411-2105
(361) 991-0911
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
H8172
TX
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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