Individual
DR. ROGERS KING COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 CRAWFORD STREET, GRANBURY, TX 76048
(817) 573-6800
(817) 573-6802
Mailing address
1411 CRAWFORD STREET, GRANBURY, TX 76048
(817) 573-6800
(817) 573-6802
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C5636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6536
TEXAS LICENSE
TX
Enumeration date
07/01/2014
Last updated
07/01/2014
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