Individual
MRS. COLLEEN AMELIA GOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7000 W PLANO PKWY, SUITE 200, PLANO, TX 75093-8466
(214) 483-9300
(214) 483-9301
Mailing address
7000 W PLANO PKWY, SUITE 200, PLANO, TX 75093-8466
(214) 483-9300
(214) 483-9301
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
762474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
762474
TEXAS BOARD OF NURSING
TX
Enumeration date
04/07/2011
Last updated
04/07/2011
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