Individual
DR. DOUGLAS C COLTMAN
Active
Individual
DR. DOUGLAS C COLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101210601
—
TX
01
—
110205047
MEDICARE RAILROAD
TX
01
—
123037
CHIPS
TX
01
—
5788303
AETNA
TX
01
—
CO08090K0
BCBS
TX
01
—
TIN PLUS SUFFIX 005
TRICARE
TX
01
—
TIN PLUS SUFFIX 035
TRICARE
TX
Enumeration date
02/10/2006
Last updated
10/10/2014
Update your record
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