Coastal Medical Suites

NPI #1992578413 in Rockport, Texas

Provider Information

NPI Number: 1992578413
Entity Type: Organization
Organization Name: Coastal Medical Suites
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Nov 6, 2023
Last Updated: Nov 6, 2023

Practice Location

Address: 802 ENTERPRISE BLVD
Address 2: SUITE 812
City: Rockport
State: Texas
ZIP Code: 78382
Phone: (208) 630-4087

Authorized Official

Name: CHANTELL WILLIAMS, MSN, FNP-BC
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (208) 630-4087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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