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Individual

DR. JANINE COLES ISLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4295 KINSEY DR, TYLER, TX 75703-1004
(903) 526-5000
(903) 526-5006
Mailing address
4295 KINSEY DR, TYLER, TX 75703-1004
(903) 526-5000
(903) 526-5006

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
C10004355
DE
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M5241
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000567801
DE
05
208681101
TX
Enumeration date
06/30/2005
Last updated
01/08/2013
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