| NPI | 1780869065 |
|---|---|
| Doing Business As | COASTAL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDY D. BINGHAM Owner Provider 361-790-9047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TX 673904) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2022-12-06 |