Basic Information
| Provider Information | |||||||||
| NPI: | 1972676070 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COUGHLIN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1007 S CONGRESS AVE | ||||||||
| Address2: | # 224 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787048707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124545291 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2201 S CLEAR CREEK RD | ||||||||
| Address2: | |||||||||
| City: | KILLEEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765494110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2545198405 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | H6133 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.