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NPI Code Detail

MEDICARE: TINA L COEN

MEDICARE: TINA L COEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1069901TX

General Provider Information

NPI Number : 1538794169
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA L COEN
Provider Business Mailing Address
First Line : 16728 FM 839 S
Second Line :
City : HENDERSON
State : TX
Zip : 75654-6152
Country : US
Telephone Number : 936-615-3358
Fax Number :
Provider Business Practice Location Address
First Line : 1600 US HIGHWAY 79 S
Second Line :
City : HENDERSON
State : TX
Zip : 75654-4508
Country : US
Telephone Number : 903-717-3260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2020
Last Update Date : 10/13/2024

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Directions to “ TINA L COEN ” Practice Location

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