NPI 1770735193

Thomas William Coleman, PA

Practitioner Medical Physician Assistant Coushatta, LA

Practice location

Address: 1635 Marvel St, Coushatta, LA 71019-9022
Phone: (318) 932-2085
Fax: (318) 932-2215
Mailing address: PO Box 2009, Natchitoches, LA 71457-2009

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA.TPA.639 (LA)

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Registry record

NPI: 1770735193
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2008
Record last updated: 17 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.