Organization Active NPI

Linda Coffey MD PA

Doing business as San Antonio Dermatology

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1245496926
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G4925 Issued in TX
Legal business name
LINDA COFFEY MD PA
Doing business as
San Antonio Dermatology
Practice address
19222 Stonehue
Suite 103
San Antonio, TX 78258-3453
Phone
(210) 497-1475
Fax
(210) 497-1502
NPI assigned
Aug 1, 2008
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Linda Jean Royall Coffey, M.D.
Title
MD
Phone
(210) 497-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G4925 TX Primary

Addresses

Primary practice location

19222 Stonehue
Suite 103
San Antonio, TX 78258-3453

Mailing address

19222 Stonehue
Suite 103
San Antonio, TX 78258-3453
Phone (210) 497-1475

Other names 1

  • SAN ANTONIO DERMATOLOGY Doing business as

National Provider Directory

National Provider Directory

Locations

19222 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 497-1475

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1245496926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19222 STONEHUE",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583453",
            "telephone_number": "210-497-1475",
            "fax_number": "210-497-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19222 STONEHUE",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583453",
            "telephone_number": "210-497-1475",
            "fax_number": "210-497-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA COFFEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEAN ROYALL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "210-497-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G4925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN ANTONIO DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.