Provider Demographics
NPI:1437352861
Name:GULF COAST INTEGRATIVE HEALTHCARE
Entity Type:Organization
Organization Name:GULF COAST INTEGRATIVE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-557-7200
Mailing Address - Street 1:711 W BAY AREA BLVD STE 620
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4042
Mailing Address - Country:US
Mailing Address - Phone:281-557-7200
Mailing Address - Fax:281-557-7225
Practice Address - Street 1:711 W BAY AREA BLVD STE 620
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4042
Practice Address - Country:US
Practice Address - Phone:281-557-7200
Practice Address - Fax:281-557-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9810111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty