JACQUELYN ANDREA COATES PHYSICIAN ASSISTANT NPI 1730164617

NPI Information

Jacquelyn Andrea Coates, PHYSICIAN ASSISTANT is a surgical physician assistant in Corpus Christi, TX with 20 years of experience. Jacquelyn Andrea Coates, PHYSICIAN ASSISTANT NPI is 1730164617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 TEXAN TRAIL
STE. 300
CORPUS CHRISTI, TX
ZIP 78411-549
Phone: (361) 854-0811
Fax: (361) 806-5040

The NPI 1730164617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 12/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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