Organization Active NPI

Gulf Coast Wellness & Rehabilitation

  • Rehabilitation Chiropractor
  • Dickinson, TX
National Provider Identifier
1225452378
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8030 Issued in TX
Legal business name
GULF COAST WELLNESS & REHABILITATION
Practice address
3750 Medical Park Drive Suite 100
Dickinson, TX 77539-7385
Phone
(281) 534-1133
Fax
(281) 534-2190
NPI assigned
Feb 10, 2014
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Paul Anthony Davis, DCNPI 1497895411
Title
Chiropractor
Phone
(281) 534-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8030 TX Primary

Addresses

Primary practice location

3750 Medical Park Drive Suite 100
Dickinson, TX 77539-7385

Mailing address

3750 Medical Park Drive Suite 100
Dickinson, TX 77539-7385
Phone (281) 534-1133

National Provider Directory

National Provider Directory

Locations

3750 Medical Park Blvd
Ste 100
Dickinson, TX 77539
Phone (281) 534-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1225452378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 MEDICAL PARK DRIVE SUITE 100",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775397385",
            "telephone_number": "281-534-1133",
            "fax_number": "281-534-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 MEDICAL PARK DRIVE SUITE 100",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775397385",
            "telephone_number": "281-534-1133",
            "fax_number": "281-534-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST WELLNESS & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "281-534-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.