Organization
THE GULF COAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK ELIZONDO (CFO)
(409) 763-2373
Entity
Organization
Contact information
Practice address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
Mailing address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
(409) 763-2373
(409) 978-2401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135222104
—
TX
Enumeration date
02/14/2007
Last updated
11/07/2025
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