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NPI Code Detail

MEDICARE: COLEEN M MADIGAN MD

MEDICARE: COLEEN M MADIGAN MD
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
1207R00000XInternal Medicine PhysicianF6896TX

General Provider Information

NPI Number : 1386651156
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLEEN M MADIGAN MD
Provider Business Mailing Address
First Line : 360 DOLPHIN PL
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78411-1512
Country : US
Telephone Number : 361-944-1126
Fax Number :
Provider Business Practice Location Address
First Line : 5846 WOOLDRIDGE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2402
Country : US
Telephone Number : 361-944-1126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 11/18/2019

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Directions to “ COLEEN M MADIGAN MD” Practice Location

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