Organization
GULF COAST HEALTHCARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWESI A DARQUAH (PRESIDENT)
(469) 245-0980
Entity
Organization
Contact information
Practice address
12989 JUPITER RD, SUITE 104, DALLAS, TX 75238-3212
(469) 254-0980
(972) 429-9233
Mailing address
301 W KIRBY ST, SUITE 233, WYLIE, TX 75098-4194
(469) 254-0980
(972) 429-9233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
Update your record
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