Doctor Name: | DON COLEMAN |
NPI Number: | 1376554253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0078107 |
Business Practice Address: | 111 Toye Blvd Canyon Lake, TX - 78133 |
Business Phone Number: | 8309644495 |
Business Fax Number: | 8309644988 |
Mailing Address: | 111 Toye Blvd, CANYON LAKE |
State: | TX |
Postal Code: | 78133 |
Phone Number: | 8309644495 |
Fax Number: | 8309644988 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 0078107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |