Gulf Coast Medical Logistics

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

GULF COAST MEDICAL LOGISTICS

Practice address

1631 North Loop W Ste 510
Houston, TX 77008-1531

Phone

(713) 202-8824

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Krishnan Shivshanker

Title

President

Phone

(713) 202-8824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1043889868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 WOODBROOK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081531",
            "telephone_number": "713-202-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MEDICAL LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "SHIVSHANKER",
        "authorized_official_first_name": "KRISHNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-202-8824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Endodontics West U PLLC
• Gulf Coast Eye Center Incorportated
• Gulf Coast Functional Testing
• Gulf Coast Heart Clinic PLLC
• Gulf Coast Lung Center, Inc.
• Gulf Coast MRI & Diagnostics, Inc.
• Gulf Coast Nephrology LLP
• Gulf Coast Neuropsychology, PLLC
• Gulf Coast Newborn Hearing Screening, LLC
• Gulf Coast Nursing Services, Inc.

• Infusion Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.