Individual
JAMIE LYNN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
L1006
TX
2085R0202X
Diagnostic Radiology Physician
Primary
L1006
TX
Other
Enumeration date
04/18/2006
Last updated
12/11/2018
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