Individual
ELISE RAE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5151 MAPLE AVE, DALLAS, TX 75235-8136
(214) 266-0013
Mailing address
3717 REMINGTON DR, ROWLETT, TX 75088-6585
(214) 957-7656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16708
TX
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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