Organization
COASTAL MOBILE MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON GUEVARA DO (PRESIDENT/OWNER)
(361) 728-5907
Entity
Organization
Contact information
Practice address
10825 BASAL EDGE RD, HELOTES, TX 78023-5109
(210) 867-9563
Mailing address
10825 BASAL EDGE RD, HELOTES, TX 78023-5109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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