Organization
GCMC OF WHARTON COUNTY TEXAS, LLC
Active
Other names
Gulf Coast Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY S MONTELLO (DIRECTOR OF BUSINESS SERVICES)
(979) 282-6141
Entity
Organization
Contact information
Practice address
10141 US 59 RD, WHARTON, TX 77488-7224
(979) 282-6141
(979) 282-6036
Mailing address
PO BOX 4869, DEPT 407A, HOUSTON, TX 77210-4869
(979) 282-6141
(979) 282-6036
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
008330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178848101
—
TX
Enumeration date
08/06/2009
Last updated
01/23/2013
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