Individual
COLEY GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(830) 431-1380
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L1588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144066101
—
TX
05
—
144066103
—
TX
Enumeration date
05/11/2006
Last updated
12/17/2021
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