Coffman, Stewart Ross

Coffman, Stewart Ross is an individual health care provider with primary practice located at 500 W Main St , Lewisville TX 75057-3641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Coffman, Stewart Ross can be contacted via phone (972) 758-3598.

Contact Information

Primary practice address
500 W Main St Lewisville TX 75057-3641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J1938 Texas

Profile Details

NPI number 1922084631
LBN Legal business name Coffman, Stewart Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Oct 28th, 2010 - about 14 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 1922084631 NPPES
Texas MEDICAID 118517502
Texas Other 84781F
Texas Other 930082501
Texas MEDICAID 118517507
Texas Other 930094836
Texas MEDICAID 118517503
Texas Other 8A0464

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