Organization
DENNIS W COFFMAN M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS W COFFMAN M.D. (OWNER)
(936) 564-7383
Entity
Organization
Contact information
Practice address
4800 N E STALLINGS DRIVE, SUITE 111, NACOGDOCHES, TX 75965-1250
(936) 564-7383
(936) 569-0549
Mailing address
4800 N E STALLINGS DRIVE, SUITE 111, NACOGDOCHES, TX 75965-1250
(936) 564-7383
(936) 569-0549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EO423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115582201
—
TX
Enumeration date
08/30/2012
Last updated
08/30/2012
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