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Individual
MARSHALL CHAD COLEMAN
Active
Individual
MARSHALL CHAD COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP116551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327603203
—
TX
01
—
8369NJ
BCBS
TX
01
—
P00006668
PROMINENCE HEALTH
TX
01
—
P01359598
RAILROAD MEDICARE
TX
Enumeration date
12/03/2007
Last updated
06/01/2016
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