Colon, Athos Gabriel
Colon, Athos Gabriel is an sole proprietor health care provider with primary practice located at 3602 23Rd St , Lubbock TX 79410-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Colon, Athos Gabriel can be contacted via phone (806) 368-8723.Contact Information
Primary practice address
3602 23Rd St
Lubbock TX 79410-1326
Phone: (806) 368-8723
Fax: (806) 368-8724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | K0690 | Texas |
Profile Details
| NPI number | 1477551273 |
|---|---|
| LBN Legal business name | Colon, Athos Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Sep 19th, 2023 - about last year |
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 | 1477551273 | NPPES |
| New Mexico | MEDICAID | J1658 | |
| New Mexico | MEDICAID | 137294812 |
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