Individual
DR. MARK ROBERT COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 SAGEBRIAR DRIVE, BRYAN, TX 77802-6107
(979) 774-0498
Mailing address
5022 AUGUSTA CIRCLE, COLLEGE STATION, TX 77845-8983
(979) 690-7335
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E6286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R9480
BCBS ID #
TX
Enumeration date
09/06/2006
Last updated
07/08/2007
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