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NPI 1508328303

NPI 1508328303 : LUIS FELIPE COLON IV MD : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1508328303
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    Entity Type          |    Individual 
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    Provider Name        |    LUIS FELIPE COLON IV MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2019
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    8210 WALNUT HILL LN STE 130 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-4418
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    Country              |    US
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    Telephone            |    512-439-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4700 SETON CENTER PKWY STE 115 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78759-5753
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    Country              |    US
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    Telephone            |    346-440-0644
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    Fax                  |    346-478-0182
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    V8966
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    V8966
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    License Number State |    TX
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