Organization
GULF COAST HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WAYNE HILL D.C. (OWNER/ DOCTOR OF CHIROPRACTIC)
(832) 385-5926
Entity
Organization
Contact information
Practice address
2825 EAST NASA PARKWAY, SEABROOK, TX 77586
(281) 532-3160
Mailing address
2825 EAST NASA PARKWAY, SEABROOK, TX 77586
(281) 532-3160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608954
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/18/2021
Last updated
06/18/2021
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