Individual
KYLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201A WEBHOLLOW CIR, BRYAN, TX 77801-1604
(936) 348-0649
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1008652
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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