Individual
DR. JONATHAN S COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2756 MIRA VISTA LN, ROCKWALL, TX 75032-5476
(214) 771-3162
(361) 729-8854
Mailing address
2756 MIRA VISTA LN, ROCKWALL, TX 75032-5476
(214) 771-3162
(361) 729-8854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L2197
TX
207Q00000X
Family Medicine Physician
L2197
TX
Other
Enumeration date
01/23/2006
Last updated
12/22/2021
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