Organization
COASTAL EYE ASSOCIATES
Active
Other names
Coastal Eye Associates, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY FERREE (EXECUTIVE ADMINISTRATOR)
(281) 282-5160
Entity
Organization
Contact information
Practice address
1900 NORTH LOOP W STE 360, HOUSTON, TX 77018-8100
(281) 488-7213
(713) 290-0609
Mailing address
555 E MEDICAL CENTER BLVD STE 101, WEBSTER, TX 77598-4367
(281) 488-7213
(281) 488-1387
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121767109
—
TX
01
—
45D2083586
CLIA
TX
Enumeration date
08/15/2014
Last updated
06/16/2016
Update your record
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