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General NPI Number Information
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NPI Number | 1699692822
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Entity Type | Organization
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Legal Business Name | COASTAL CARE MEDICAL & WELLNESS
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 8145 MARSEILLE DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-6049
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Country | US
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Telephone | 361-815-6019
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Fax |
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Provider Business Mailing Address
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Address Line | 8145 MARSEILLE DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-6049
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Country | US
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Telephone | 361-815-6019
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MARY ALICE BROWNING-TAYLOR
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Credential | NP
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Telephone | 361-815-6019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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