MEDICARE: LOUIS P COATES LLC

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
1	173000000X	Legal Medicine

General Provider Information

NPI Number	:	1689917403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUIS P COATES LLC

Provider Business Mailing Address
First Line	:	5915 MURPHY RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75048-2825
Country	:	US
Telephone Number	:	972-496-6937
Fax Number	:	972-496-6979

Provider Business Practice Location Address
First Line	:	5915 MURPHY RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75048-2825
Country	:	US
Telephone Number	:	972-496-6937
Fax Number	:	972-496-6979

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	LOUIS P COATES
Credential	:	D.O.
Telephone Number	:	972-496-6937

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	12/22/2014

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Directions to “LOUIS P COATES LLC ” Practice Location

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