# T COE BRANCH MD ASSOCIATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518128172
- **Authorized official:** T COE BRANCH MD (OWNER)
- **Authorized official phone:** (806) 293-5161

## Contact information

- **Practice address:** 2404 YONKERS ST, SUITE 7, PLAINVIEW, TX 79072-1820
- **Practice address phone:** (806) 293-5161
- **Practice address fax:** (806) 296-5321
- **Mailing address:** 2404 YONKERS ST, SUITE 7, PLAINVIEW, TX 79072-1820
- **Mailing address phone:** (806) 293-5161
- **Mailing address fax:** (806) 296-5321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 11/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0078RP | BLUE CROSS BLUE SHIELD | TX |