Colgan, Timothy Kelly
Colgan, Timothy Kelly is an individual health care provider with primary practice located at 755 N 11Th St Ste P2280 , Beaumont TX 77702-1525. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Colgan, Timothy Kelly can be contacted via phone (409) 236-4900.Contact Information
Primary practice address
755 N 11Th St Ste P2280
Beaumont TX 77702-1525
Phone: (409) 236-4900
Fax: (409) 236-4901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD2016-0640 | New Mexico |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD2016-0640 | New Mexico |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G2674 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | G2674 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G2674 | Texas |
Profile Details
| NPI number | 1730186610 |
|---|---|
| LBN Legal business name | Colgan, Timothy Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 25th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730186610 | NPPES |
| Texas | MEDICAID | 080142501 | |
| Texas | MEDICAID | 115955005 |
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