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NPI Code Detail

MEDICARE: TERI L COKER LVN

MEDICARE:   TERI L COKER  LVN
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
1164X00000XLicensed Vocational Nurse199448TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1199448OTHERTXLVN LICENSE

General Provider Information

NPI Number : 1437267317
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI L COKER LVN
Provider Business Mailing Address
First Line : 1350 N WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 214-330-0036
Fax Number :
Provider Business Practice Location Address
First Line : 1350 N WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 214-330-0036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ TERI L COKER LVN” Practice Location

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