Individual
DR. CHERYL L COLDWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 GATEWAY CENTRAL STE 200, MARBLE FALLS, TX 78654-6356
(512) 553-1740
Mailing address
113 BIG SKY, BURNET, TX 78611-3692
(512) 553-1740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G6708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8K0607
—
TX
05
—
TXB118726
—
TX
05
—
TXB118727
—
TX
05
—
TXB142558
—
TX
Enumeration date
07/29/2006
Last updated
09/05/2021
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