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Jacob Robert Coene
General Practice Physician in Jbsa Lackland, Texas
NPI 1831784438

Jacob Robert Coene is a General Practice Physician based in Jbsa Lackland, TX. Jacob Robert Coene practices in Jbsa Lackland, TX. The NPI Number for Jacob Robert Coene is 1831784438 and holds a License No. (Texas).

The current practice location address for Jacob Robert Coene is 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX and can be reached out via phone at 210-916-9928 and via fax at 210-916-9332.

Location: 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX, 78236-9908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831784438
Provider Name
Jacob Robert Coene
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX, 78236-9908
Phone Number
210-916-9928
Fax Number
210-916-9332
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040208021620 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop, Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-9908
Phone Number
210-916-9928
Fax Number
210-916-9332
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop, Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-9908
Phone Number
210-916-9928
Fax Number
210-916-9332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101276554 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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