Individual
DANIEL D COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 LAKEWAY CENTRE CT STE A, LAKEWAY, TX 78734-2757
(512) 610-3110
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1400
(845) 651-1512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
230349-1
NY
207Q00000X
Family Medicine Physician
Primary
P6360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02524472
—
NY
Enumeration date
02/24/2006
Last updated
03/03/2022
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