Individual
CHARLES COULTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5819
(830) 792-2431
Mailing address
111 KATHY DR, KERRVILLE, TX 78028-9730
(361) 537-0732
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
547143
TX
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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