Ronald Coleman Jr, DO | |
405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | |
(254) 537-6400 | |
(254) 537-6402 |
Full Name | Ronald Coleman Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 405 Londonderry Dr, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841304540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | L1298 (Texas) | Primary |
Entity Name | Providence Health Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
Entity Name | The Oasis Treatment Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407242365 PECOS PAC ID: 2860708583 Enrollment ID: O20150826000936 |
Mailing Address | Practice Location Address |
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Ronald Coleman Jr, DO Po Box 18962, Belfast, ME 04915-4084 Ph: (800) 566-5050 | Ronald Coleman Jr, DO 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 Ph: (254) 537-6400 |
Dr. Mark A Lorenzen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301b Richland West Cir, Waco, TX 76712 Phone: 254-772-2722 Fax: 254-772-4075 | |
Dr. Priyadarshini Srinivasan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 254-297-0400 Fax: 254-297-0404 | |
Brian Edward Barkley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712 Phone: 254-202-6100 Fax: 254-202-6195 | |
Dr. Darrell Stafford Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712 Phone: 254-202-2911 Fax: 254-202-2919 | |
Katherine Elizabeth Thaller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712 Phone: 254-202-6100 Fax: 254-202-6195 | |
Oluwarotimi Oluwakemi Adesina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7125 New Sanger Ave Ste 516, Waco, TX 76712 Phone: 254-752-9638 | |
Dr. Cessley Marsellus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-297-0400 |