Individual
BLAKE DOUGLAS COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9318 LOUETTA RD STE 100, SPRING, TX 77379-6545
(713) 588-0955
Mailing address
9318 LOUETTA RD STE 100, SPRING, TX 77379-6545
(713) 588-0955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65583
TX
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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