Organization Active NPI

The Gulf Coast Center

  • Psychiatry Physician
  • League City, TX
National Provider Identifier
1245285899
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE GULF COAST CENTER
Practice address
4444 W Main St
League City, TX 77573-1737
Phone
(409) 763-2373
Fax
(409) 978-2401
NPI assigned
May 23, 2006
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Mr. Rick Elizondo
Title
Cfo
Phone
(409) 763-2839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TX Primary

Addresses

Primary practice location

4444 W Main St
League City, TX 77573-1737

Mailing address

4444 W Main St
League City, TX 77573-1737
Phone (409) 763-2373

Other practice location 1

3201 Fm 2004 Rd
Texas City, TX 77591-2199
Phone (409) 763-2373

Other practice location 2

2352 E Mulberry St
Angleton, TX 77515-3805
Phone (409) 763-2373

Other practice location 3

101 Tigner St
Angleton, TX 77515-4568
Phone (409) 763-2373

Other practice location 4

101 Brennen Ln
Alvin, TX 77511-3533
Phone (409) 763-2373

Other practice location 5

4444 W Main St
League City, TX 77573-1737
Phone (409) 763-2373

Other practice location 6

7510 Fm 1765
Texas City, TX 77591-3672
Phone (409) 763-2373

Other practice location 7

4700 Broadway St Ste 100
Galveston, TX 77551-4241
Phone (409) 763-2373

Other practice location 8

1207 Oak St
LA Marque, TX 77568-5925
Phone (409) 763-2373

Other practice location 9

7510 Fm 1765
Texas City, TX 77591-3672
Phone (409) 763-2373

Other practice location 10

1207 Oak St
LA Marque, TX 77568-5925
Phone (409) 763-2373

Other identifiers 1

IdentifierTypeStateIssuer
135222109MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001641 TX Part B Supplier - Clinic/Group Practice 6204821895 Receives reassigned benefits from 114 practitioners
Practice locations: Alvin, TX; Angleton, TX; Galveston, TX; League City, TX; Texas City, TX

National Provider Directory

National Provider Directory

Locations

204 W Coombs St
Alvin, TX 77511

101 Tigner St
Bldg 2
Angleton, TX 77515
Phone (979) 848-0933

123 Rosenberg St
#6
Galveston, TX 77550

123 Rosenberg St
Ste 4
Galveston, TX 77550

3828 Ursuline St
Galveston, TX 77550
Phone (409) 761-3200

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

10000 Emmett F Lowry Expy
Ste 1220
Texas City, TX 77591
Phone (281) 635-1004

1207 Oak St
Texas City, TX 77568
Phone (409) 938-7221

Practitioners & affiliated clinicians

Practitioners 131

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.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1245285899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Fm 2004 Rd",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912199",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2352 E Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Angleton",
            "state": "TX",
            "postal_code": "775153805",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Tigner St",
            "address_purpose": "LOCATION",
            "city": "Angleton",
            "state": "TX",
            "postal_code": "775154568",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Brennen Ln",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775113533",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 W Main St",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775731737",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 Fm 1765",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775913672",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Broadway St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775514241",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Oak St",
            "address_purpose": "LOCATION",
            "city": "LA Marque",
            "state": "TX",
            "postal_code": "775685925",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 Fm 1765",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775913672",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Oak St",
            "address_purpose": "LOCATION",
            "city": "LA Marque",
            "state": "TX",
            "postal_code": "775685925",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE GULF COAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "409-763-2839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135222109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.