Coppell Associates In Family Medicine PA
Family Medicine in Coppell, TX. Organization (NPI-2).
NPI number1447386966
StatusActive
Last updated in NPPESJun 5, 2014
Details
- NPI
- 1447386966
- Entity type
- Organization (NPI-2)
- Legal business name
- Coppell Associates In Family Medicine PA
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Jun 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G6149 | TX | Yes |
| 363A00000X | Physician Assistant | PA02895 | TX |
Practice location
848 S Denton Tap RdSuite 100
Coppell, TX 75019-4558
Phone 972-393-5559 · Fax 972-393-5479
Mailing address
848 S Denton Tap RdSuite 100
Coppell, TX 75019-4558
Phone 972-393-5559 · Fax 972-393-5479
Authorized official
Danielle Roberts
Office Staff
9723935559
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