Individual
COLBY STEPHEN GINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
2808 LONGHORN BLVD STE 308, AUSTIN, TX 78758-7626
(713) 532-3395
Mailing address
3813 KELLNER RD, DICKINSON, TX 77539-6202
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
27341614
TX
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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