Individual
DR. JEFFREY RAY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15220 MONTFORT RD, 1001, DALLAS, TX 75248-6401
(972) 239-1530
(972) 239-0840
Mailing address
15220 MONTFORT DR., 1001, DALLAS, TX 75248
(972) 239-1530
(972) 239-0840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7320
TX
152WC0802X
Corneal and Contact Management Optometrist
7320
TX
152WS0006X
Sports Vision Optometrist
7320
TX
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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