COASTAL PLASTIC SURGER NPI 1265765143

NPI Information

  • NPI: 1265765143
  • Provider Name: COASTAL PLASTIC SURGER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1015 MEDICAL CENTER BLVD
    SUITE 1800
    WEBSTER, TX
    ZIP 77598
  • Phone: (281) 282-9300

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NPI Details

COASTAL PLASTIC SURGER is an ambulatory surgical clinic center in Webster, TX. COASTAL PLASTIC SURGER NPI is 1265765143. The provider is registered as an organization entity type.

The provider's business location address is:

1015 MEDICAL CENTER BLVD
SUITE 1800
WEBSTER, TX
ZIP 77598-052
Phone: (281) 282-9300
Fax: (281) 338-6885

The provider's authorized official is Todd Wayne Adam .
The authorized official title is Owner and has the following contact phone number (281) 286-4113.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 9/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalJ8858TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G0475MEDICARE UPINTEXAS
200T89SMEDICARE PINTEXAS
3138997509MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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