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NPI Code Detail

MEDICARE: CARLA COLLADO MD

MEDICARE: CARLA COLLADO 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
12080N0001XNeonatal-Perinatal Medicine PhysicianP5949TX

General Provider Information

NPI Number : 1689871014
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA COLLADO MD
Provider Business Mailing Address
First Line : 7777 SOUTHWEST FWY
Second Line : SUITE 310
City : HOUSTON
State : TX
Zip : 77074-1802
Country : US
Telephone Number : 713-772-3300
Fax Number :
Provider Business Practice Location Address
First Line : 2200 CHILDRENS WAY
Second Line : 11111 DOCTORS OFFICE TOWER
City : NASHVILLE
State : TN
Zip : 37232-5051
Country : US
Telephone Number : 615-936-5953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 08/01/2013

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