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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	P5949	TX

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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