Organization
SOUTH COAST HEALTH CARE OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON MCKAY (CEO)
(361) 572-0333
Entity
Organization
Contact information
Practice address
2700 CITIZENS PLZ STE 100, VICTORIA, TX 77901-5756
(361) 579-1371
(361) 579-1373
Mailing address
1908 N LAURENT ST STE 410, VICTORIA, TX 77901-5469
(361) 572-0333
(361) 572-8518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081AX
BLUE CROSS
TX
05
—
081198601
—
TX
Enumeration date
07/15/2006
Last updated
05/20/2021
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