Individual
MS. TINA FORD COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP CRNFA
Contact information
Practice address
1600 COIT RD STE 104, PLANO, TX 75075-6171
(972) 985-2797
(972) 985-4797
Mailing address
12222 N CENTRAL EXPY STE 420, DALLAS, TX 75243-3825
(972) 985-2797
(972) 985-4797
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
529902
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP117274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005HT
BCBS PROVIDER NUMBER
TX
Enumeration date
08/28/2006
Last updated
01/04/2022
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