Organization
COASTAL ACCESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN GUEVARA (OWNER)
(936) 661-9227
Entity
Organization
Contact information
Practice address
3011 HIGHWAY 30 W # 101-166, HUNTSVILLE, TX 77340-3534
(936) 581-5356
(866) 249-9163
Mailing address
3011 HIGHWAY 30 W # 101-166, HUNTSVILLE, TX 77340-3534
(936) 581-5356
(866) 249-9163
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171WH0202X
MEMBER TAXONOMY
TX
01
—
176786155
DUNS
TX
01
—
2248
TRCC
TX
01
—
332B00000X
MEMBER TAXONOMY
TX
05
—
BNTCS0189
—
TX
01
—
S500292970
UNKNOWN
—
Enumeration date
08/15/2008
Last updated
03/31/2024
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