John Mark Coulter in Lake Jackson - General Practice

John Mark Coulter - NPI 1457465619

John Mark Coulter is a General Practice in Lake Jackson, Texas. John Mark Coulter practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Mark Coulter is 1457465619. The last update date is 2007-07-08.

John Mark Coulter's current location address is 102 Flag Lake Dr Ste C, Lake Jackson, Texas. You can contact this provider via phone number 9792971201 and fax number 9792976226. The mailing address for John Mark Coulter is 102 Flag Lake Dr Ste C, Lake Jackson, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Mark Coulter
Address 102 Flag Lake Dr Ste C, Lake Jackson, Texas
Phone Number 9792971201
Fax Number 9792976226
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1457465619
Provider Enumeration Date 2006-08-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 102 Flag Lake Dr Ste C
City Lake Jackson
State Texas (TX)
Post Code 775666215
Phone Number 9792971201
Fax Number 9792976226

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13602
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about John Mark Coulter

What is the unique 10-digit identification code assigned to John Mark Coulter by the Centers for Medicare & Medicaid Services?

The John Mark Coulter has been issued the NPI (National Provider Identifier) 1457465619, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John Mark Coulter is located?

The John Mark Coulter is situated at the following address: 102 Flag Lake Dr Ste C, Lake Jackson, TX, 775666215.

What is John Mark Coulter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Mark Coulter is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the John Mark Coulter receive the assignment of its 1457465619 from the Centers for Medicare & Medicaid Services?

The John Mark Coulter was issued its 1457465619 by the Centers for Medicare & Medicaid Services on 2006-08-17.

As of what date was the information regarding John Mark Coulter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Mark Coulter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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