Individual
ALAN B COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7811 GLADYS, BEAUMONT, TX 77706
(409) 866-6444
Mailing address
7811 GLADYS, BEAUMONT, TX 77706
(409) 866-6444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752417
UNITED CONCORDIA
TX
01
—
D13853
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/13/2007
Last updated
07/08/2007
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