Organization
GULF COAST SPECIALTY PROVIDERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS WADLINGTON (GROUP VICE PRESIDENT)
(615) 372-7332
Entity
Organization
Contact information
Practice address
6560 FANNIN ST STE 1404, HOUSTON, TX 77030-2706
(713) 790-0600
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
11/21/2025
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