Organization
M COLEMAN DRIVER JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N ANGLE MD (PHYSICIAN/OWNER)
(325) 942-9300
Entity
Organization
Contact information
Practice address
303 W. HARRIS AVE., SUITE 3, SAN ANGELO, TX 76903-6377
(325) 942-9300
(325) 942-9333
Mailing address
303 W. HARRIS AVE., SUITE 3, SAN ANGELO, TX 76903-6377
(325) 942-9300
(325) 942-9333
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
E7897
TX
207W00000X
Ophthalmology Physician
Primary
J1844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181813001
—
TX
Enumeration date
06/26/2006
Last updated
01/06/2012
Update your record
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