Provider Demographics
NPI:1982693388
Name:COATS, DAVID K (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:COATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4771
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4771
Mailing Address - Country:US
Mailing Address - Phone:832-822-3230
Mailing Address - Fax:713-796-8110
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:MCCC 640.00
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-822-3230
Practice Address - Fax:713-796-8110
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4239207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132310704Medicaid
TX82W934OtherBC/BS
TX3219587OtherBLUE LINK
TX132310701Medicaid
TX132310702Medicaid
TX82W934Medicare PIN
TX82W934OtherBC/BS
TX3219587OtherBLUE LINK
TX8L0832Medicare PIN
TX132310701Medicaid