Omar Alberto Colon Gutierrez MD

NPI 1063413482 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1063413482
Gender Male
Enumeration Date 08/09/2005
Last Updated 03/12/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
2800 W 15TH ST
PLANO TX, 75075-7526, US
Phone (972) 378-6908
Fax (972) 378-6586
Business Location
7750 NORTH MACARTHUR
SUITE 120 338
IRVING TX, 75063-7514, US
Phone (972) 378-6908
Fax (972) 378-6586
Toxanomy
Taxonomy Code 225400000X
License State Texas
License Number L3943
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According to our database, Mr. Omar Alberto Colon Gutierrez MD NPI is 1063413482, taxonomy code is 225400000X and license number is L3943, license state is located at Texas. Omar Alberto Colon Gutierrez MD physically located at 2800 W 15th St, Plano TX, 75075-7526. NPI Number Omar Alberto Colon Gutierrez MD has the Individual type.

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1063413482 NPI number is provided on an as is basis without warranty of any kind. 1063413482 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Alberto Colon Gutierrez MD are for informational purposes only.