Organization
COASTAL BEND SPINE & SPORT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL L MARTIN PT (PRESIDENT)
(361) 362-1700
Entity
Organization
Contact information
Practice address
1301 E HOUSTON ST, BEEVILLE, TX 78102-5309
(361) 362-1700
(361) 362-1369
Mailing address
1301 E HOUSTON ST, BEEVILLE, TX 78102-5309
(361) 362-1700
(361) 362-1369
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022JN
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
01/26/2007
Last updated
01/23/2008
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