Individual
COLTON PLACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
296 JR PHILLIPS RD, LIVINGSTON, TX 77351-2439
(936) 433-1053
Mailing address
296 JR PHILLIPS RD, LIVINGSTON, TX 77351-2439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1045649
TX
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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