Organization
GULF COAST HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHA E THIGPEN MD (EXECUTIVE DIRECTOR)
(409) 983-1161
Entity
Organization
Contact information
Practice address
601 REV RANSOM HOWARD, BLDG B, PORT ARTHUR, TX 77640
(409) 983-1161
(409) 982-0978
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
(409) 982-0978
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333043301
—
TX
01
—
741834
PART A
TX
Enumeration date
06/14/2013
Last updated
11/09/2018
Update your record
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