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NPI Code Detail

MEDICARE: MR. JOSEPH SHEPHERD COFER PA-C

MEDICARE: MR. JOSEPH SHEPHERD COFER PA-C
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
1363AS0400XSurgical Physician Assistant50.002274OH
2363A00000XPhysician AssistantPA14640TX
3363A00000XPhysician Assistant0010-03143NC

General Provider Information

NPI Number : 1194711531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH SHEPHERD COFER PA-C
Provider Business Mailing Address
First Line : 2833 BABCOCK RD STE 435
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4850
Country : US
Telephone Number : 210-705-5060
Fax Number :
Provider Business Practice Location Address
First Line : 2833 BABCOCK RD STE 435
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4850
Country : US
Telephone Number : 210-705-5060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 01/21/2025

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Directions to “ MR. JOSEPH SHEPHERD COFER PA-C” Practice Location

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