Individual
MS. MARY ELIZABETH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36029 58TH STREET, FT. HOOD, TX 76544
(254) 287-7629
Mailing address
36029 58TH STREET, FT. HOOD, TX 76544
(254) 287-7629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
605515
TX
163WC0400X
Case Management Registered Nurse
Primary
605515
TX
Other
Enumeration date
08/19/2021
Last updated
11/01/2021
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