Organization Active NPI

Coe-Medical PLLC

  • Family Medicine Physician
  • Boerne, TX
National Provider Identifier
1073907184
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1053 Issued in TX
Legal business name
COE-MEDICAL PLLC
Practice address
215 W Bandera Rd Ste 114-440
Boerne, TX 78006-3571
Phone
(903) 806-4181
Fax
(830) 206-6776
NPI assigned
Mar 26, 2015
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura GivensNPI 1902957046
Title
Ceo
Phone
(903) 806-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Family Medicine Physician 207Q00000X L1053 TX Primary

Addresses

Primary practice location

215 W Bandera Rd Ste 114-440
Boerne, TX 78006-3571

Mailing address

215 W Bandera Rd Ste 114-440
Boerne, TX 78006-3571
Phone (903) 806-4181

Other identifiers 1

IdentifierTypeStateIssuer
3519357-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150722005727 TX Part B Supplier - Clinic/Group Practice 1951614726 Receives reassigned benefits from 44 practitioners

National Provider Directory

National Provider Directory

Locations

190 Greencastle Rd
Tyrone, GA 30290
Phone (678) 895-0216

10004 Johns Rd
Boerne, TX 78006

113 Pleasant Valley Dr
Boerne, TX 78006
Phone (818) 470-0380

215 W Bandera Rd
Ste 114440
Boerne, TX 78006
Phone (903) 806-4181

106 Heritage Hills Dr
Fredericksburg, TX 78624

11703 Huebner Rd
San Antonio, TX 78230
Phone (210) 644-2300

4096 De Zavala Rd
San Antonio, TX 78249
Phone (210) 408-7411

8615 Mystic Park
San Antonio, TX 78254

9014 Timber Path
San Antonio, TX 78250
Phone (210) 523-2455

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1073907184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BANDERA RD STE 114-440",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063571",
            "telephone_number": "903-806-4181",
            "fax_number": "830-206-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BANDERA RD STE 114-440",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063571",
            "telephone_number": "903-806-4181",
            "fax_number": "830-206-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COE-MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-806-4181"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3519357-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.