# MR. EDWARD ANGEL COLON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376500256
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA00671 | TX | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 05/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 307544201 | — | TX |
| 01 | — | 875N29 | BC/BS \# | TX |
| 01 | — | P01090443 | RAILROAD MEDICARE PTAN | TX |