Coastal Bend Prosthetics
Prosthetic/Orthotic Supplier in Corpus Christi, TX. Organization (NPI-2).
NPI number1962055988
StatusActive
Last updated in NPPESJan 22, 2025
Details
- NPI
- 1962055988
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Bend Prosthetics
- Organization subpart
- No
- Enumeration date
- Jul 18, 2019
- Certification date
- Jan 22, 2025
- Last updated
- Jan 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Coastal Orthopedic Supply (Doing Business As)
Practice location
2222 Morgan Ave Ste 106Corpus Christi, TX 78405-1900
Phone 361-980-3988
Mailing address
4531 Ayers St Ste 112Corpus Christi, TX 78415-1414
Phone 361-800-1087
Authorized official
Jonathan J Scott
Owner
3619803988
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