Individual
DEVON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 451, DALLAS, TX 75231-0806
(214) 397-1570
Mailing address
9301 N CENTRAL EXPY, SUITE 451, DALLAS, TX 75231-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1271110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1271110
PT LICENSE NUMBER
TX
Enumeration date
05/12/2016
Last updated
05/12/2016
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