Coffman, Mark Robert

Coffman, Mark Robert is an individual health care provider with primary practice located at 3811 Sagebriar Drive , Bryan TX 77802-6107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Coffman, Mark Robert can be contacted via phone (979) 774-0498.

Contact Information

Primary practice address
3811 Sagebriar Drive Bryan TX 77802-6107
Phone: (979) 774-0498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E6286 Texas

Profile Details

NPI number 1710080759
LBN Legal business name Coffman, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710080759 NPPES
Texas Other 8R9480 BCBS ID #

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