Individual
DR. PAUL DAVID COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 S WALNUT STREET, LAS CRUCES, NM 88001
(575) 523-6330
(575) 523-6331
Mailing address
925 S WALNUT ST, LAS CRUCES, NM 88001-3955
(575) 523-6330
(575) 523-6331
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M9223
TX
208600000X
Surgery Physician
M9223
TX
208600000X
Surgery Physician
MD2007-0561
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089476-01
—
TX
05
—
63827786
—
NM
Enumeration date
08/28/2007
Last updated
08/21/2025
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