Organization
BEHRENS SOUTHERN COMFORT MEDICAL SUPPLY, LLC
Active
Other names
Coastal Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GENE MOORMAN (OWNER)
(409) 621-1167
Entity
Organization
Contact information
Practice address
2902 AVENUE R 1/2, GALVESTON, TX 77550-7744
(409) 621-1167
Mailing address
2902 AVENUE R 1/2, GALVESTON, TX 77550-7744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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