Provider Demographics
NPI:1356724207
Name:COATES, ESTHER
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:COATES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11517 CHERISSE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1996
Mailing Address - Country:US
Mailing Address - Phone:512-766-0237
Mailing Address - Fax:888-971-7172
Practice Address - Street 1:11517 CHERISSE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-1996
Practice Address - Country:US
Practice Address - Phone:512-766-0237
Practice Address - Fax:888-971-7172
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113881282N00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No282N00000XHospitalsGeneral Acute Care Hospital