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Contact Information

CHARLES COULTER JR
3600 MEMORIAL BLVD
KERRVILLE, TX78028-5819
 Phone: 830-792-2431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

163WG0100X
Indicates primary specialty

NPI Profile & details for CHARLES COULTER JR · (Male)

NPI # 1528894706
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2024
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # 547143
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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