Dr. Jace Andrew Coon, DO
Emergency Medicine in Weatherford, TX. Individual provider (NPI-1).
NPI number1114586443
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1114586443
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jace Andrew Coon
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2019
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | U1656 | TX | Yes |
| 207P00000X | Emergency Medicine | 5151013991 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 5151013991 | MI |
Practice location
713 E Anderson StWeatherford, TX 76086-5705
Phone 682-582-1000
Mailing address
713 E Anderson StWeatherford, TX 76086-5705
Phone 682-582-1000
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