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Coggin Avenue Medical Park Pllc
Family Nurse Practitioner in Brownwood, Texas
NPI 1609001239

Coggin Avenue Medical Park Pllc is a Family Nurse Practitioner based in Brownwood, TX and is specialized in Family. Coggin Avenue Medical Park Pllc practices in Brownwood, TX. The NPI Number for Coggin Avenue Medical Park Pllc is 1609001239 and holds a License No. (Texas).

The current practice location address for Coggin Avenue Medical Park Pllc is 2201 Coggin Ave, Brownwood, TX and can be reached out via phone at 325-646-7828 and via fax at 325-646-7888.

Location: 2201 Coggin Ave, Brownwood, TX, 76801-4734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609001239
Provider Name
Coggin Avenue Medical Park Pllc
Credential
Provider Entity Type
Organization
Address
2201 Coggin Ave, Brownwood, TX, 76801-4734
Phone Number
325-646-7828
Fax Number
325-646-7888
Provider Enumeration Date
05/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205587301 05 TX
institution
Provider Business Practice Location Address Details
Address
2201 Coggin Ave
City
Brownwood
State
Texas
Zip
76801-4734
Phone Number
325-646-7828
Fax Number
325-646-7888
person
Provider Business Mailing Address Details
Address
2201 Coggin Ave
City
Brownwood
State
Texas
Zip
76801-4734
Phone Number
325-646-7828
Fax Number
325-646-7888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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