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NPI Code Detail

MEDICARE: STEPHEN W COATES MD

MEDICARE:   STEPHEN W COATES  MD
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
1207RG0100XGastroenterology PhysicianK8887TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487635066
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN W COATES MD
Provider Business Mailing Address
First Line : PO BOX 22000
Second Line :
City : SAN ANGELO
State : TX
Zip : 76902-7200
Country : US
Telephone Number : 325-658-1511
Fax Number : 325-481-2166
Provider Business Practice Location Address
First Line : 4450 SUNSET DRIVE
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904
Country : US
Telephone Number : 325-658-1511
Fax Number : 325-481-2166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 09/25/2013

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