Provider Demographics
NPI:1053752428
Name:GULF COAST PAIN SPECIALISTS PLLC
Entity type:Organization
Organization Name:GULF COAST PAIN SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:COGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-345-2743
Mailing Address - Street 1:8524 HIGHWAY 6 N # 342
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2103
Mailing Address - Country:US
Mailing Address - Phone:281-345-2743
Mailing Address - Fax:
Practice Address - Street 1:10930 RESOURCE PKWY STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6157
Practice Address - Country:US
Practice Address - Phone:281-345-2743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6123207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty