| Organization Name: | COASTAL MEDICAL GROUP |
| NPI Number: | 1205266228 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ASLAM LOYA (MEDICAL DIRECTOR) |
| Mailing Address: | 11920 Astoria Blvd Suite 110 Houston |
| State: | TX US |
| Postal Code: | 770896097 |
| Phone Number: | 2814648484 |
| Fax Number: | 2814648432 |
| NPI Enumeration Date: | 11/13/2013 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | 710374 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |