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NPI Code Detail

MEDICARE: MS. TRACEE VANETTE COLEMAN

MEDICARE: MS. TRACEE VANETTE COLEMAN
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
1183500000XPharmacist38440TX

General Provider Information

NPI Number : 1427057587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACEE VANETTE COLEMAN
Provider Business Mailing Address
First Line : 3939 RAMBLE CREEK DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7036
Country : US
Telephone Number : 281-431-6095
Fax Number :
Provider Business Practice Location Address
First Line : 3601 N MACGREGOR WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77004-8004
Country : US
Telephone Number : 713-873-4702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/08/2007

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Directions to “ MS. TRACEE VANETTE COLEMAN ” Practice Location

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