MEDICARE: COASTAL HEALTH & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1619667565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	PO BOX 939
Second Line	:
City	:	LA MARQUE
State	:	TX
Zip	:	77568-0939
Country	:	US
Telephone Number	:	409-938-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 13TH AVE N
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-5498
Country	:	US
Telephone Number	:	409-938-2234
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	AMI COTHARN
Credential	:	RN, MSN
Telephone Number	:	409-938-2218

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/18/2023

Similar Medicare Providers

1053048512 — CHRISTINA JANAY SMITH
Practice Location Address:

1805 13TH AVE N
TEXAS CITY, TX
77590-5498

Practice Phone: 409-916-0512
Practice Fax:

1295462554 — ASHLEIGH KUHLMANN MS CF-SLP
Practice Location Address:

1805 13TH AVE N
TEXAS CITY, TX
77590-5498

Practice Phone: 409-916-0512
Practice Fax:

1013602648 — MOBEE MEDICAL ASSOCIATES PLLC
Practice Location Address:

7070 KNIGHTS CT STE 1503
MISSOURI CITY, TX
77459-5498

Practice Phone: 713-324-8884
Practice Fax: 713-324-8884

1184145021 — OYINADE ODIA MD
Practice Location Address:

7070 KNIGHTS CT STE 1503
MISSOURI CITY, TX
77459-5498

Practice Phone: 713-324-8884
Practice Fax:

1861159246 — YOUR PRIMARY CARE PLLC
Practice Location Address:

7070 KNIGHTS CT STE 1405
MISSOURI CITY, TX
77459-5498

Practice Phone: 346-447-6622
Practice Fax:

1134824972 — MS. TAYLOR ALEXIS TOWNSEND COTA/L
Practice Location Address:

10664 SAINT JAMES DR
CULVER CITY, CA
90230-5498

Practice Phone: 310-838-2778
Practice Fax:

Directions to “COASTAL HEALTH & WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.