Individual
MRS. COLLEEN MICHELE DUNLOP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7324 SOUTHWEST FREEWAY, SUITE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Mailing address
7324 SOUTHWEST FREEWAY, SUITE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085-001342
IL
363AS0400X
Surgical Physician Assistant
Primary
085.001342
IL
363AS0400X
Surgical Physician Assistant
10000991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618941
BLUECROSS/BLUESHIELD
IL
Enumeration date
07/22/2005
Last updated
10/08/2013
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