MEDICARE: DR. JUNE WILLIAMS COLMAN M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	K0399	TX

General Provider Information

NPI Number	:	1255342788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUNE WILLIAMS COLMAN M.D., P.A.

Provider Business Mailing Address
First Line	:	1140 WESTMONT DR STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-4363
Country	:	US
Telephone Number	:	713-453-6962
Fax Number	:	713-453-6967

Provider Business Practice Location Address
First Line	:	4702 EMANCIPATION AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004
Country	:	US
Telephone Number	:	713-453-6962
Fax Number	:	713-453-6967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/21/2022

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