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1316677511
GULF COAST SPECIALTY PROVIDERS, PLLC
HOUSTON, TX
NPI
1316677511
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Entity Type
Organization
Authorized Contact
WADE KORDONOWY
Vice President
713-852-1762
Organization Subpart ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
GULF COAST SPECIALTY PROVIDERS, PLLC
6560 FANNIN ST STE 1404
HOUSTON, TX 77030-2706
Phone number: 713-790-0600
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Mailing Address
GULF COAST SPECIALTY PROVIDERS, PLLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426
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