| NPI | 1750937744 |
|---|---|
| Doing Business As | COASTAL INFUSION SERVICES |
| Entity Type | Organization |
| Authorized Contact | HUNTER FARRAR Manager 985-900-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-09-10 |