Individual
LEE COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3204 DUNDEE ST, EL PASO, TX 79925-4152
(915) 843-7773
Mailing address
20 FOUNDERS BLVD, EL PASO, TX 79906-4904
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13099987
TX DL
TX
Enumeration date
12/08/2022
Last updated
12/08/2022
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