Organization
COASTAL MEDICAL SUITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTELL WILLIAMS MSN, FNP-BC (CHIEF ADMINISTRATIVE OFFICER)
(208) 630-4087
Entity
Organization
Contact information
Practice address
802 ENTERPRISE BLVD, SUITE 812, ROCKPORT, TX 78382
(208) 630-4087
Mailing address
PO BOX 699, ROCKPORT, TX 78381-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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