| Dennis W Coffman M.d. | |
|
4800 N E Stallings Drive Suite 111 Nacogdoches TX 75965-1250 | |
| (936) 564-7383 | |
| (936) 569-0549 |
| Full Name | Dennis W Coffman M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 4800 N E Stallings Drive, Nacogdoches, Texas |
| Authorized Official Name and Position | Dennis W Coffman (OWNER) |
| Authorized Official Contact | 9365647383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis W Coffman M.d. 4800 N E Stallings Drive Suite 111 Nacogdoches TX 75965-1250 Ph: (936) 564-7383 | Dennis W Coffman M.d. 4800 N E Stallings Drive Suite 111 Nacogdoches TX 75965-1250 Ph: (936) 564-7383 |
| NPI Number | 1255680674 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255680674 | NPI | - | NPPES |
| 115582201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | EO423 (Texas) | Primary |
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