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NPI Code Detail

MEDICARE: COASTAL ORTHOPEDICS, PLLC

MEDICARE: COASTAL ORTHOPEDICS, PLLC
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
1207X00000XOrthopaedic Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100360UOTHERTXMEDICARE GROUP PROVIDER NUMBER

General Provider Information

NPI Number : 1740312370
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL ORTHOPEDICS, PLLC
Provider Business Mailing Address
First Line : 5920 SARATOGA BLVD
Second Line : SUITE 600A
City : CORPUS CHRISTI
State : TX
Zip : 78414-4103
Country : US
Telephone Number : 361-994-1166
Fax Number : 361-994-7046
Provider Business Practice Location Address
First Line : 5920 SARATOGA BLVD
Second Line : SUITE 600A
City : CORPUS CHRISTI
State : TX
Zip : 78414-4103
Country : US
Telephone Number : 361-994-1166
Fax Number : 361-994-7046
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT SETH WILLIAMS
Credential : M.D.
Telephone Number : 361-994-1166
Provider Enumeration Date : 03/09/2007
Last Update Date : 03/06/2026

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Directions to “COASTAL ORTHOPEDICS, PLLC ” Practice Location

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