Provider Demographics
NPI:1366540791
Name:COATES, LOUIS PATRICK (DO)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:PATRICK
Last Name:COATES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5915 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2825
Mailing Address - Country:US
Mailing Address - Phone:972-496-6937
Mailing Address - Fax:972-496-6979
Practice Address - Street 1:5915 MURPHY RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75048-2825
Practice Address - Country:US
Practice Address - Phone:972-496-6937
Practice Address - Fax:972-496-6979
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8087207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX313132YUWNMedicare PIN
TX313119Medicare PIN