Healthcare Provider Details
I. General information
NPI: 1205020658
Provider Name (Legal Business Name): COATES AND KING PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2007
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5915 MURPHY RD
GARLAND TX
75048-2825
US
IV. Provider business mailing address
5915 MURPHY RD
GARLAND TX
75048-2825
US
V. Phone/Fax
- Phone: 972-675-5200
- Fax: 972-675-8714
- Phone: 972-675-5200
- Fax: 972-675-8714
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOUIS
P
COATES
Title or Position: DOCTOR
Credential: D.O
Phone: 972-675-5200