Individual
MICHAEL COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 E RANDOL MILL RD, STE 503, ARLINGTON, TX 76011-8292
(817) 299-8012
(817) 299-8095
Mailing address
2004 E RANDOL MILL RD, STE 503, ARLINGTON, TX 76011-8292
(817) 299-8012
(817) 299-8095
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
14469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208761101
—
TX
05
—
208761102
—
TX
05
—
208761103
—
TX
Enumeration date
04/28/2011
Last updated
04/28/2011
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