| Doctor Name: | MICHAEL CRAIG COLOTTA |
| NPI Number: | 1477824340 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | 689704 |
| Business Practice Address: | 233 Hurst St Center, TX - 759354321 |
| Business Phone Number: | 9365910390 |
| Business Fax Number: | |
| Mailing Address: | 879 County Road 135, GARRISON |
| State: | TX |
| Postal Code: | 759466757 |
| Phone Number: | 9365560101 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 689704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |