Collazo-Maldonado, Roberto
Collazo-Maldonado, Roberto is an individual health care provider with primary practice located at 1411 N Beckley Ave Ste 370 , Dallas TX 75203-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Collazo-Maldonado, Roberto can be contacted via phone (214) 358-2300.Contact Information
Primary practice address
1411 N Beckley Ave Ste 370
Dallas TX 75203-1513
Phone: (214) 358-2300
Fax: (214) 579-6983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | K5871 | Texas |
Profile Details
| NPI number | 1942295647 |
|---|---|
| LBN Legal business name | Collazo-Maldonado, Roberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Nov 14th, 2023 - about 2 years 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 | 1942295647 | NPPES |
| Texas | Other | K5871 | LICENSE |
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