Provider Demographics
NPI:1851501019
Name:GULF COAST HEALING, P.A.
Entity Type:Organization
Organization Name:GULF COAST HEALING, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:BURHANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-814-1873
Mailing Address - Street 1:4949 EVERHART RD
Mailing Address - Street 2:STE106
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3949
Mailing Address - Country:US
Mailing Address - Phone:361-814-1873
Mailing Address - Fax:361-814-1875
Practice Address - Street 1:4949 EVERHART RD
Practice Address - Street 2:STE106
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3949
Practice Address - Country:US
Practice Address - Phone:361-814-1873
Practice Address - Fax:361-814-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147116101Medicaid
TX1669443289OtherNPI HARLAN BURHANS, D.C.
TX147116101Medicaid
TX1669443289OtherNPI HARLAN BURHANS, D.C.