Provider Demographics
NPI:1689855751
Name:TEXAS HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:TEXAS HEALTHCARE SERVICES INC.
Other - Org Name:COASTAL BEND DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLOUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-288-1858
Mailing Address - Street 1:6202 DUNBARTON OAK DR
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3597
Mailing Address - Country:US
Mailing Address - Phone:361-288-1858
Mailing Address - Fax:361-288-1859
Practice Address - Street 1:6202 DUNBARTON OAK DRIVE
Practice Address - Street 2:SUITE # 100
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3597
Practice Address - Country:US
Practice Address - Phone:361-288-1858
Practice Address - Fax:361-288-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-17
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171WH0202X, 171WV0202X
TX0101392332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193089301Medicaid
TX6085030001Medicare NSC
TX193089301Medicaid