Organization
COASTAL FIRST ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR LOPEZ (OWNER)
(361) 548-7932
Entity
Organization
Contact information
Practice address
7209 RIDGE CREEK DR, CORPUS CHRISTI, TX 78413-5030
(361) 548-7932
Mailing address
7209 RIDGE CREEK DR, CORPUS CHRISTI, TX 78413-5030
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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