Individual
JOSHUA ALTON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 W GRANDE BLVD APT# 2301, TYLER, TX 75711-2563
(469) 647-6835
Mailing address
PO BOX 9563, TYLER, TX 75711-2563
(469) 647-6835
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324597
TX
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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