Gulfcoast Wellness Managemt Group

NPI #1083812259 in Houston, Texas

Provider Information

NPI Number: 1083812259
Entity Type: Organization
Organization Name: Gulfcoast Wellness Managemt Group
Subpart: Yes (part of a larger organization)
Parent Organization: GULFCOAST WELLNESS MANAGEMT GROUP
Primary Specialty: Chiropractor
Enumeration Date: Jul 10, 2007
Last Updated: Nov 11, 2008

Practice Location

Address: 2404 CAROLINE ST
City: Houston
State: Texas
ZIP Code: 77004-1016
Phone: (713) 524-4803

Authorized Official

Name: LAMONT RATCLIFF
Title: DIRECTOR
Phone: (713) 524-4803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Maintenance Organization	302R00000X
Family Medicine	207Q00000X
General Practice	208D00000X
Physical Medicine & Rehabilitation	208100000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Chiropractor	111N00000X	Primary

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