AIDS Coalition of Costal Texas, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

225382 Issued in TX

Legal business name

AIDS COALITION OF COSTAL TEXAS, INC.

Practice address

707 Tremont St
Galveston, TX 77550-2201

Phone

(409) 763-2437

Fax

(409) 763-5482

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mark L White

Title

Executive Director

Phone

(409) 763-2437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1356788970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 TREMONT ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502201",
            "telephone_number": "409-763-2437",
            "fax_number": "409-763-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 TREMONT ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502201",
            "telephone_number": "409-763-2437",
            "fax_number": "409-763-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS COALITION OF COSTAL TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-763-2437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TX",
            "license": "225382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Galveston, TX
• Providers in Galveston, TX by specialty
• Early Intervention Provider Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.