Coggin Avenue Medical Park Pllc

LBN: Coggin Avenue Medical Park Pllc
Coggin Avenue Medical Park Pllc is an health care organization with primary practice located at 2201 Coggin Ave , Brownwood TX 76801-4734. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Coggin Avenue Medical Park Pllc can be contacted via phone (325) 646-7828, or through Lord, Katy M via phone (325) 646-7828.

Contact Information

Primary practice address
2201 Coggin Ave Brownwood TX 76801-4734
Phone: (325) 646-7828
Fax: (325) 646-7888
Website:
Map and Directions
Authorized official contact:
Name: Lord, Katy M
Phone: (325) 646-7828

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1609001239
LBN Legal business name Coggin Avenue Medical Park Pllc
DBA Doing business as
Authorized official Lord, Katy M
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2009
Last updated Mar 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609001239 NPPES
Texas MEDICAID 205587301

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