| Doctor Name: | ROBERT COGHLAN |
| NPI Number: | 1255520698 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 562143 |
| Business Practice Address: | 700 Medical Pkwy Brenham, TX - 778335413 |
| Business Phone Number: | 7134706006 |
| Business Fax Number: | 7134799655 |
| Mailing Address: | Po Box 27797, HOUSTON |
| State: | TX |
| Postal Code: | 772277797 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 562143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |