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NPI Code Detail

MEDICARE: MRS. CARMEN G COE ACNP

MEDICARE:  MRS. CARMEN G COE  ACNP
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
1363LA2100XAcute Care Nurse PractitionerAP115138TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R52539OTHERARARK NURSING LIC ACNP CRED

General Provider Information

NPI Number : 1942320593
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN G COE ACNP
Provider Business Mailing Address
First Line : 5002 COWHORN CREEK RD STE 4000C
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-9766
Country : US
Telephone Number : 903-614-3824
Fax Number : 903-614-3585
Provider Business Practice Location Address
First Line : 5002 COWHORN CREEK RD STE 4000C
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-9766
Country : US
Telephone Number : 903-614-3824
Fax Number : 903-614-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 12/12/2025

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Directions to “ MRS. CARMEN G COE ACNP” Practice Location

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