Provider Demographics
NPI:1316814049
Name:KILLEEN FAMILY MEDICINE CLINIC, PLLC
Entity type:Organization
Organization Name:KILLEEN FAMILY MEDICINE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LINCOLN
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-312-9565
Mailing Address - Street 1:1601 E RANCIER AVE
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-3735
Mailing Address - Country:US
Mailing Address - Phone:254-312-9565
Mailing Address - Fax:254-312-9656
Practice Address - Street 1:1601 E RANCIER AVE
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-3735
Practice Address - Country:US
Practice Address - Phone:254-312-9565
Practice Address - Fax:254-312-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty