COASTAL PROVIDER PROVIDERS LLC

WESLACO, TX
NPI1033864236
Entity TypeOrganization
Authorized ContactLYZA ELAINE GARZA-GEROW
Owner
956-376-6851
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2022-02-16
Last Update Date2022-02-16
Business Address
COASTAL PROVIDER PROVIDERS LLC
448 S TEXAS BLVD
WESLACO, TX 78596-6201
Phone number: 956-520-8558
Mailing Address
COASTAL PROVIDER PROVIDERS LLC
448 S TEXAS BLVD
WESLACO, TX 78596-6201
Phone number: 956-520-8558