Healthcare Provider Details

I. General information

NPI: 1316171143
Provider Name (Legal Business Name): ALLISON MORGAN COIL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 BRIARCREST DR SUITE 14
BRYAN TX
77802-2769
US

IV. Provider business mailing address

1900 PINE ST
ABILENE TX
79601-2432
US

V. Phone/Fax

Practice location:
  • Phone: 979-776-4777
  • Fax: 979-776-0588
Mailing address:
  • Phone: 979-776-4777
  • Fax: 979-776-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number698425
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: