Individual
GREGORY COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 422-2895
Mailing address
101 W LOUIS HENNA BLVD, AUSTIN, TX 78728-1235
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13823
TX
363A00000X
Physician Assistant
PA9112551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104584300
—
FL
Enumeration date
04/14/2019
Last updated
09/06/2024
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