Bernice Coleman

NPI #1194460931 in Wylie, Texas

Provider Information

NPI Number: 1194460931
Entity Type: Organization
Organization Name: Bernice Coleman
Primary Specialty: Private Vehicle
Enumeration Date: May 4, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 405 ISAAC CIR APT D
City: Wylie
State: Texas
ZIP Code: 75098-9036
Phone: (972) 880-7217

Authorized Official

Name: BERNICE COLEMAN
Title: OWNER
Phone: (972) 880-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X	Primary

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