Coltman, Douglas C

Coltman, Douglas C is an individual health care provider with primary practice located at 520 E Douglas Blvd , Tyler TX 75702-8307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Coltman, Douglas C can be contacted via phone (903) 593-1721.

Contact Information

Primary practice address
520 E Douglas Blvd Tyler TX 75702-8307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J7764 Texas

Profile Details

NPI number 1619940442
LBN Legal business name Coltman, Douglas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 10th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619940442 NPPES
Texas MEDICAID 101210601
Texas Other CO08090K0
Texas Other TIN PLUS SUFFIX 035
Texas Other 123037
Texas Other 110205047
Texas Other TIN PLUS SUFFIX 005
Texas Other 5788303

Popular Providers