Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9854 | TX |
NPI | 1013039882 |
---|---|
Provider Name | Dr. Jaime L Coleman |
First Address | Plano, TX 75093-7895 |
Second Address | Plano, TX 75093-7895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |