MEDICARE: HCSP PLLC

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	207R00000X	Internal Medicine Physician	J8967	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER		NONE

General Provider Information

NPI Number	:	1730457169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HCSP PLLC

Provider Business Mailing Address
First Line	:	617 N 3RD ST
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76501-3156
Country	:	US
Telephone Number	:	254-935-2655
Fax Number	:	254-935-2660

Provider Business Practice Location Address
First Line	:	617 N 3RD ST
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76501-3156
Country	:	US
Telephone Number	:	254-935-2655
Fax Number	:	254-935-2660

Authorized Official
Title or Position	:	OWNER
Name	:	HECTOR F COLON
Credential	:	M.D.
Telephone Number	:	254-935-2655

Provider Enumeration Date	:	12/13/2011
Last Update Date	:	12/19/2011

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