# BERNICE COLEMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bernice Coleman
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194460931
- **Authorized official:** BERNICE COLEMAN (OWNER)
- **Authorized official phone:** (972) 880-7217

## Contact information

- **Practice address:** 405 ISAAC CIR APT D, WYLIE, TX 75098-9036
- **Practice address phone:** (972) 880-7217
- **Mailing address:** 405 ISAAC CIR APT D, WYLIE, TX 75098-9036
- **Mailing address phone:** (972) 880-7217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2022
- **Last updated:** 06/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 33676977 | DRIVER LICENSE | AR |