Dennis W Coffman M D

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DENNIS W COFFMAN M D

Doing business as

Physicians Clinical Lab

Practice address

4800 NE Stallings
Suite 112
Nacogdoches, TX 75965

Phone

(936) 564-7033

Fax

(936) 564-7909

NPI assigned

Jan 17, 2007

Last updated

Jun 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis W CoffmanNPI 1659421642

Title

Owner Medical Director

Phone

(936) 564-7383

Specialties & licenses 1

Addresses

Other names 1

• Physicians Clinical Lab Doing business as

Locations

Practitioners 1

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.

• Dennis Wayne Coffman, MD

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1659421642
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1215089818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS",
            "address_2": "SUITE 112",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-564-7033",
            "fax_number": "936-564-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE STALLINGS",
            "address_2": "SUITE 112",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-564-7033",
            "fax_number": "936-564-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS W COFFMAN M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-564-7383"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Jo Dejean, OTR
• Charnaa Dejean
• Cesar Delaguila, M.D.
• Maria L Deleon, MD
• Alex Demotte
• Dennis W Coffman M.D.
• Dentate PLLC (Oral & Facial Surgery Group)
• Hannah Grubb Deppisch, M.D.
• Diagnostic Dental Center PLLC
• Dialysis Clinic Inc.

• Clinical Medical Laboratory in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.