Organization
COASTAL BEND EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK A SAHADI M.D. (PRESIDENT)
(361) 888-4288
Entity
Organization
Contact information
Practice address
900 MORGAN AVE, CORPUS CHRISTI, TX 78404-2028
(361) 888-4288
(361) 888-4786
Mailing address
900 MORGAN AVE, CORPUS CHRISTI, TX 78404-2028
(361) 888-4288
(361) 888-4786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
TX
207W00000X
Ophthalmology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E25Y
BLUE CROSS/BLUE SHIELD
TX
01
—
CS3829
MEDICARE-RAILROAD
TX
Enumeration date
07/22/2006
Last updated
10/17/2007
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