Individual
DR. EL CENTRO C COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-2078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51828
CT
207P00000X
Emergency Medicine Physician
Primary
Q1121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341470801
—
TX
Enumeration date
04/18/2007
Last updated
02/24/2015
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