Individual
JAY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8000
Mailing address
975 E 3RD ST, BOX 376, CHATTANOOGA, TN 37403
(423) 778-7234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019-02231
NC
2085R0202X
Diagnostic Radiology Physician
Primary
59964
TN
2085R0202X
Diagnostic Radiology Physician
83804
GA
390200000X
Student in an Organized Health Care Education/Training Program
0
TX
Other
Enumeration date
04/14/2014
Last updated
11/05/2019
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