Organization
GULF COAST AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON THOMAS GREEN (AUDIOLOGIST)
(361) 573-2500
Entity
Organization
Contact information
Practice address
4203 N. MAIN ST., VICTORIA, TX 77901-2710
(361) 573-2500
(361) 573-2506
Mailing address
4203 N. MAIN ST., VICTORIA, TX 77901
(361) 573-2500
(361) 573-2506
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51387
TX
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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