Organization
THE GULF COAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK ELIZONDO (CFO)
(409) 763-2839
Entity
Organization
Contact information
Practice address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(409) 978-2401
Mailing address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(409) 978-2401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135222109
—
TX
Enumeration date
05/23/2006
Last updated
04/23/2025
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