Organization
COASTAL MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMEH OKPON JACK RN (DON/ALTERNATE ADMINISTRATOR)
(713) 771-8470
Entity
Organization
Contact information
Practice address
8303 SOUTHWEST FWY STE 820, HOUSTON, TX 77074-1638
(713) 771-8470
(713) 771-8474
Mailing address
8303 SOUTHWEST FWY STE 820, HOUSTON, TX 77074-1638
(713) 771-8470
(713) 771-8474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005445
—
TX
Enumeration date
10/26/2006
Last updated
02/02/2012
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