Individual
DR. CHARLES CREED COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E. LAMAR, 400, ARLINGTON, TX 76006
(888) 804-3000
(817) 334-0235
Mailing address
PO BOX 650252, DALLAS, TX 75265-0252
(888) 804-3000
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033982203
—
TX
Enumeration date
02/01/2006
Last updated
12/12/2012
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