Individual
DR. DOUGLAS C COLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 593-1721
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us