Organization
GULF COAST HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHA E THIGPEN MD (EXECUTIVE DIRECTOR)
(409) 983-1161
Entity
Organization
Contact information
Practice address
610 STRICKLAND DR STE 380, ORANGE, TX 77630-4787
(409) 886-4400
(409) 983-4933
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
(409) 983-4933
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126826008
—
TX
Enumeration date
07/07/2005
Last updated
07/21/2022
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