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General NPI Number Information
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NPI Number | 1093039539
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Entity Type | Individual
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Provider Name | MELINDA FAYE COKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 910 E HOUSTON ST STE 650
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City | TYLER
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State | TX
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Zip | 75702
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Country | US
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Telephone | 903-606-5300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 841656
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City | DALLAS
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State | TX
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Zip | 75284-1656
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Country | US
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Telephone | 903-531-5000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME129656
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 310184
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | Q7166
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License Number State | TX
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