| Doctor Name: | TAMARAH K COFFEY |
| NPI Number: | 1043599137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., P.N.P |
| License Number: | 643088 |
| Business Practice Address: | 4304 N Laurent St Victoria, TX - 779012741 |
| Business Phone Number: | 3615734313 |
| Business Fax Number: | 3615734327 |
| Mailing Address: | 4304 N Laurent St, VICTORIA |
| State: | TX |
| Postal Code: | 779012741 |
| Phone Number: | 3615734313 |
| Fax Number: | 3615734327 |
| NPI Enumeration Date: | 08/08/2011 |
| NPI Last Update Date: | 08/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 643088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |