Doctor Name: | RACHEL SUDELA COLON |
NPI Number: | 1457509580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | COL104338401 |
Business Practice Address: | 763 E Highway 80 130 Forney, TX - 751268676 |
Business Phone Number: | 9725640050 |
Business Fax Number: | 9725642138 |
Mailing Address: | 763 E Highway 80, 130 FORNEY |
State: | TX |
Postal Code: | 751268676 |
Phone Number: | 9725640050 |
Fax Number: | 9725642138 |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 09/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | COL104338401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |