Provider Demographics
NPI:1629329412
Name:COASTAL INPATIENT CONSULTANTS INC
Entity Type:Organization
Organization Name:COASTAL INPATIENT CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RUPERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-999-4360
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-1056
Mailing Address - Country:US
Mailing Address - Phone:832-999-4360
Mailing Address - Fax:832-999-4370
Practice Address - Street 1:1400 CREEK WAY DR
Practice Address - Street 2:# 231 A
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4072
Practice Address - Country:US
Practice Address - Phone:832-999-4360
Practice Address - Fax:832-999-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1629329412OtherNPI
TX263709OtherMEDICARE PTAN
TX321276301Medicaid
TX321276303OtherCSHCN MEDICAID
173619106OtherTPI
173619107OtherTPI
TX321276303OtherCSHCN MEDICAID