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Organization

COASTAL BEND WELLNESS FOUNDATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUGUSTIN DELAGARZA MHA (COO)
(361) 814-2001
Entity
Organization

Contact information

Practice address
720 E LEE AVE, KINGSVILLE, TX 78363-4606
(361) 290-7672
(877) 928-8238
Mailing address
2882 HOLLY RD, CORPUS CHRISTI, TX 78415-4106
(361) 814-2001

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/22/2021
Last updated
04/29/2025
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