Coffee, Charles Creed
Coffee, Charles Creed is an individual health care provider with primary practice located at 2000 E. Lamar 400, Arlington TX 76006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Coffee, Charles Creed can be contacted via phone (888) 804-3000.Contact Information
Primary practice address
2000 E. Lamar 400
Arlington TX 76006
Phone: (888) 804-3000
Fax: (817) 334-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J2545 | Texas |
Profile Details
| NPI number | 1336111715 |
|---|---|
| LBN Legal business name | Coffee, Charles Creed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 12th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336111715 | NPPES |
| Texas | MEDICAID | 033982203 |
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