| NPI | 1184176620 |
|---|---|
| Doing Business As | COASTAL SKIN CARE & WELLNESS CENER |
| Entity Type | Organization |
| Authorized Contact | GARY FORREST COX President/Physician 361-579-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX E4273) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-10-24 |