Healthcare Provider Details

I. General information

NPI: 1437352861
Provider Name (Legal Business Name): GULF COAST INTEGRATIVE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W BAY AREA BLVD STE 620
WEBSTER TX
77598-4042
US

IV. Provider business mailing address

711 W BAY AREA BLVD STE 620
WEBSTER TX
77598-4042
US

V. Phone/Fax

Practice location:
  • Phone: 281-557-7200
  • Fax: 281-557-7225
Mailing address:
  • Phone: 281-557-7200
  • Fax: 281-557-7225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number9810
License Number StateTX

VIII. Authorized Official

Name: DR. ZACHARY D. MCVEY
Title or Position: OWNER
Credential: DC
Phone: 281-557-7200