Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | E6756 | TX |
N | 207QA0401X | Family Doctor - Addiction Medicine | E6756 | TX |
N | 207QA0505X | Family Doctor - Adult Medicine | E6756 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | E6756 | TX |
N | 207R00000X | Internist | E6756 | TX |
N | 111NI0900X | Internist | E6756 | TX |
N | 2081P2900X | Pain Medicine | E6756 | TX |
N | 208D00000X | General Practice Physician | E6756 | TX |
NPI | 1902954191 |
---|---|
Provider Name | Dr. Ralph Franklin Coleman |
First Address | Houston, TX 77099-4757 |
Second Address | Houston, TX 77099-4757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C14632 | (02) | TX |