DENNIS W COFFMAN M D (NPI# 1215089818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215089818 |
| Entity Type | Organization |
| Organization Name | DENNIS W COFFMAN M D |
| Other Organization Name | PHYSICIANS CLINICAL LAB |
| Practice Address |
4800 Ne Stallings Suite 112 Nacogdoches TX 75965 |
| Practice Telephone | 9365647033 |
| Practice Fax Number | 9365647909 |
| Mailing Telephone | 9365647033 |
| Mailing Fax Number | 9365647909 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | DENNIS W COFFMAN (OWNER MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9365647383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Physicians Clinical Lab | Doing Business As Name - Organization |
| Street Address |
4800 NE STALLINGS SUITE 112 |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841222189 | Bill Jeffrey Mathias | Physical Medicine & Rehabilitation | 4800 Ne Stallings, Ste 1100, Nacogdoches, TX 75965 | 2006-07-07 |
| 1659421642 | Dennis Wayne Coffman | Allergy & Immunology | 4800 Ne Stallings, Suite 111, Nacogdoches, TX 75965 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679609515 | Drl Labs Ltd | Clinical Medical Laboratory | 1303 N Mound St, Nacogdoches, TX 75961-4030 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841202 | D-lab Services LLC | Clinical Medical Laboratory | 3022 Motley Dr Ste 300, Mesquite, TX 75150-3440 | 2020-11-05 |
| 1609477843 | Callis Investments LLC | Clinical Medical Laboratory | 4234 I-35 Frontage Rd, Denton, TX 76207 | 2020-11-04 |
| 1659972149 | L&h Scientific, LLC | Clinical Medical Laboratory | 2801 Osler Dr Ste 123, Grand Prairie, TX 75051-1059 | 2020-11-03 |
| 1457951923 | Logos Clinical Laboratory LLC | Clinical Medical Laboratory | 7920 Belt Line Rd Ste 200, Dallas, TX 75254-8653 | 2020-10-26 |
| 1336748417 | Texas Mobile Medical Labs | Clinical Medical Laboratory | 3003 S Loop W Ste 108, Houston, TX 77054-1371 | 2020-10-20 |
| 1699374819 | Servants Approach Consulting LLC | Clinical Medical Laboratory | 3416 Blazon Gold Way, El Paso, TX 79936-0674 | 2020-10-19 |
| 1245838671 | Raazi Clinical Laboratory LLC. | Clinical Medical Laboratory | 7171 Highway 6 N Ste 204, Houston, TX 77095-2422 | 2020-10-16 |
| 1275131914 | Datoba International LLC | Clinical Medical Laboratory | 7447 Harwin Dr Ste 103, Houston, TX 77036-2016 | 2020-10-14 |
| 1669079208 | Exova Diagnostics LLC | Clinical Medical Laboratory | 9884 Monroe Dr, Dallas, TX 75220-1506 | 2020-10-07 |
| 1417554098 | Discover Labs LLC | Clinical Medical Laboratory | 13776 N Us Highway 183 Ste 108, Austin, TX 78750-1875 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.