Organization
COASTAL COMMUNITY DIRECT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURENE HART DO (OWNER)
(361) 203-4969
Entity
Organization
Contact information
Practice address
1315 SANTA FE ST STE 101, CORPUS CHRISTI, TX 78404-2241
(361) 203-4969
(361) 200-2092
Mailing address
1315 SANTA FE ST STE 101, CORPUS CHRISTI, TX 78404-2241
(361) 203-4969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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