| NPI | 1528231503 |
|---|---|
| Doing Business As | COASTAL SPINE & REHAB |
| Entity Type | Organization |
| Authorized Contact | JESUS QUINTANILLA Owner 361-882-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 8851) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |