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NPI Code Detail

MEDICARE: JAMES COLGIN DC

MEDICARE: JAMES COLGIN DC
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
1111N00000XChiropractorDC4328TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC4328OTHERTXLICENSE

General Provider Information

NPI Number : 1144215260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES COLGIN DC
Provider Business Mailing Address
First Line : 2108 HUNTER RD
Second Line : SUITE 114
City : SAN MARCOS
State : TX
Zip : 78666-5155
Country : US
Telephone Number : 512-396-2662
Fax Number : 512-395-8700
Provider Business Practice Location Address
First Line : 2108 HUNTER RD
Second Line : STE 114
City : SAN MARCOS
State : TX
Zip : 78666-5155
Country : US
Telephone Number : 512-396-2662
Fax Number : 512-395-8700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 10/21/2008

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Directions to “ JAMES COLGIN DC” Practice Location

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