Coppola, Marco

Coppola, Marco is an individual health care provider with primary practice located at 6800 N Macarthur Blvd , Irving TX 75039-2422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Coppola, Marco can be contacted via phone (972) 758-3598.

Contact Information

Primary practice address
6800 N Macarthur Blvd Irving TX 75039-2422
Phone: (972) 758-3598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K1801 Texas

Profile Details

NPI number 1205811254
LBN Legal business name Coppola, Marco
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 12th, 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 1205811254 NPPES
Texas MEDICAID 037149402
Texas Other 8V2872
Texas MEDICAID 13508067
Texas Other P00235950
Texas MEDICAID 037149401
Texas MEDICAID 037149403
Texas Other 8F6638
Texas MEDICAID 037149405

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