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Organization

NORTH TEXAS ANESTHESIOLOGY,PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAVIER COLON-POLANCO MD (DOCTOR)
(903) 465-6043
Entity
Organization

Contact information

Practice address
2402 W MORTON ST, STE 146, DENISON, TX 75020-1402
(903) 465-6043
(903) 463-4496
Mailing address
PO BOX 1426, DENISON, TX 75021-1426
(903) 465-6043
(903) 463-4496

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C21N
CRNA GRP PROV #
TX
01
00R73W
MD GRP PROV #
TX
Enumeration date
08/18/2006
Last updated
12/21/2007
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