Organization
COPPELL ASSOCIATES IN FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ROBERTS (OFFICE STAFF)
(972) 393-5559
Entity
Organization
Contact information
Practice address
848 S DENTON TAP RD, SUITE 100, COPPELL, TX 75019-4558
(972) 393-5559
(972) 393-5479
Mailing address
848 S DENTON TAP RD, SUITE 100, COPPELL, TX 75019-4558
(972) 393-5559
(972) 393-5479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G6149
TX
363A00000X
Physician Assistant
PA02895
TX
Other
Enumeration date
02/26/2007
Last updated
06/05/2014
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