Hector F Colon, Md, Pa | |
2207 S Clear Creek Rd Ste 205 Killeen TX 76549-4133 | |
(254) 526-2343 | |
Not Available |
Full Name | Hector F Colon, Md, Pa |
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Speciality | Psychiatry & Neurology |
Location | 2207 S Clear Creek Rd Ste 205, Killeen, Texas |
Authorized Official Name and Position | Hector F Colon (OWNER, PRESIDENT) |
Authorized Official Contact | 2545262343 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hector F Colon, Md, Pa Po Box 1658 San Antonio TX 78296-1658 Ph: (254) 526-2343 | Hector F Colon, Md, Pa 2207 S Clear Creek Rd Ste 205 Killeen TX 76549-4133 Ph: (254) 526-2343 |
NPI Number | 1487862785 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 04/09/2019 |
Medicare PECOS PAC ID | 5395803407 |
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Medicare Enrollment ID | O20081017000666 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487862785 | NPI | - | NPPES |
036025701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | J8967 (Texas) | Primary |
Provider Name | Hector F Colon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164588877 PECOS PAC ID: 5799764361 Enrollment ID: I20040716000682 |
Provider Name | Michelle Antoinette Whetstone-baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316193329 PECOS PAC ID: 1254558513 Enrollment ID: I20140808002139 |
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