MEDICARE: DR. JOSEPH SCOTT COLEMAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	DC6054	TX

General Provider Information

NPI Number	:	1154446805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH SCOTT COLEMAN DC

Provider Business Mailing Address
First Line	:	2525 INWOOD RD # 133
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7448
Country	:	US
Telephone Number	:	214-477-6482
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 INWOOD RD # 133
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7448
Country	:	US
Telephone Number	:	214-477-6482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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