Organization
COASTAL MEDICAL SERVICES DME & SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMEH OKPON-JACK (GENERAL MANAGER)
(281) 980-2057
Entity
Organization
Contact information
Practice address
13004 MURPHY RD, SUITE 218, STAFFORD, TX 77477-3971
(281) 980-2057
(281) 980-2067
Mailing address
13004 MURPHY RD, 218, STAFFORD, TX 77477-3971
(281) 980-2057
(281) 980-2067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0068682
TX
Other
Enumeration date
06/09/2006
Last updated
11/24/2010
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