GULFCOAST WELLNESS MANAGEMT GROUP

HOUSTON, TX
NPI1083812259
Entity TypeOrganization
Authorized ContactLAMONT RATCLIFF
Director
713-524-4803
Organization Subpart ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: TX  f006483)
Additional Taxonomies302R00000X Health Maintenance Organization
(Licence: TX  AM0871776)
207Q00000X Family Medicine
(Licence: TX  G7943)
208D00000X General Practice
(Licence: TX  G7943)
208100000X Physical Medicine & Rehabilitation
(Licence: TX  G7943)
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  G7943)
Enumeration Date2007-07-10
Last Update Date2008-11-11
Business Address
GULFCOAST WELLNESS MANAGEMT GROUP
2404 CAROLINE ST
HOUSTON, TX 77004-1016
Phone number: 713-524-4803
Mailing Address
GULFCOAST WELLNESS MANAGEMT GROUP
2404 CAROLINE ST
HOUSTON, TX 77004-1016
Phone number: 713-524-4803