Provider Demographics
NPI:1790994945
Name:COLEMAN, ARETHA L
Entity Type:Individual
Prefix:MS
First Name:ARETHA
Middle Name:L
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BLUFFWALK DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3236
Mailing Address - Country:US
Mailing Address - Phone:870-514-2050
Mailing Address - Fax:
Practice Address - Street 1:10 BLUFFWALK DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3236
Practice Address - Country:US
Practice Address - Phone:870-514-2050
Practice Address - Fax:870-732-3269
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)