Individual
MRS. MARTIE M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CRNFA
Contact information
Practice address
500 SOUTH CARVER, MIDLAND, TX 79701
(432) 684-6956
(432) 684-3729
Mailing address
500 SOUTH CARVER, MIDLAND, TX 79701
(432) 684-6956
(432) 684-3729
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
452278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005KE
BCBS
TX
Enumeration date
11/16/2006
Last updated
07/08/2007
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