Coastal Provider Providers LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

COASTAL PROVIDER PROVIDERS LLC

Practice address

448 S Texas Blvd
Weslaco, TX 78596-6201

Phone

(956) 520-8558

Fax

(956) 520-8557

NPI assigned

Feb 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lyza Elaine Garza-Gerow, B.ANPI 1184108623

Title

Owner

Phone

(956) 376-6851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyza Elaine Garza-Gerow, B.A., ASSISTANT, SLP

  • Home Health Agency
  • Mission, TX
  • NPI 1184108623
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1033864236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 S TEXAS BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966201",
            "telephone_number": "956-520-8558",
            "fax_number": "956-520-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 S TEXAS BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966201",
            "telephone_number": "956-520-8558",
            "fax_number": "956-520-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PROVIDER PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GARZA-GEROW",
        "authorized_official_first_name": "LYZA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-376-6851",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velma Cisneros
• City of Weslaco
• Claudia Hernandez, DDS, MSD, PLLC
• Lupita Vanessa Clemente
• Coastal Family Care LLC
• Philip Andrew Cofoid, MD
• Maria Elizabeth Combs
• Con Brazos Abiertos, LLC
• Con Carino, Inc.
• Con Fe Home Health, LLC

• Preferred Provider Organization in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.