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NPI Code Detail

MEDICARE: DEMETRIUS M COOMBS, MD, PA

MEDICARE: DEMETRIUS M COOMBS, MD, PA
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
12086S0122XPlastic and Reconstructive Surgery Physician

General Provider Information

NPI Number : 1457108771
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEMETRIUS M COOMBS, MD, PA
Provider Business Mailing Address
First Line : 7777 FOREST LN STE C700
Second Line :
City : DALLAS
State : TX
Zip : 75230-2518
Country : US
Telephone Number : 972-566-6464
Fax Number :
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C700
Second Line :
City : DALLAS
State : TX
Zip : 75230-2518
Country : US
Telephone Number : 972-566-6464
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DEMETRIUS M COOMBS
Credential : MD
Telephone Number : 972-566-6464
Provider Enumeration Date : 05/03/2024
Last Update Date : 09/17/2025

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