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Coggin Avenue Medical Park PLLC

NPI 1609001239ActiveOrganization· Nurse Practitioner, Family· Brownwood, TX

Nurse Practitioner, Family in Brownwood, Texas, registered in NPPES in May 2009. The authorized official on file is Katy M. Lord, Facility Manager.

Overview

NPI1609001239
StatusActive
Entity typeOrganization
NPI issuedMay 27, 2009
Last updated in NPPESMar 15, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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