Individual
CAROL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4158 ALASKIAN SUNRISE, SAN ANTONIO, TX 78244-1269
(210) 427-5843
Mailing address
4158 ALASKIAN SUNRISE, SAN ANTONIO, TX 78244-1269
(210) 427-5843
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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