MEDICARE: DR. GEOFFREY STEPHEN 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
1	207P00000X	Emergency Medicine Physician	E9581	TX

General Provider Information

NPI Number	:	1710091178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOFFREY STEPHEN COATES MD

Provider Business Mailing Address
First Line	:	5913 NEW HAVEN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7741
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5913 NEW HAVEN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7741
Country	:	US
Telephone Number	:	972-608-0106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	12/02/2014

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