Organization
COASTAL HEALTH & WELLNESS
Active
Other names
Galveston County Coordinated Community Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE GARCIA (BUSINESS DIRECTOR)
(409) 938-2240
Entity
Organization
Contact information
Practice address
4700 BROADWAY ST, F100, GALVESTON, TX 77551
(409) 938-2234
(409) 938-2200
Mailing address
PO BOX 939, LA MARQUE, TX 77568-0939
(409) 938-2240
(409) 938-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019054801
—
TX
Enumeration date
04/03/2008
Last updated
05/18/2023
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