Individual
COLIN VIPOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-7111
Mailing address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-7111
(847) 318-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.170075
IL
207R00000X
Internal Medicine Physician
125.078820
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
06/13/2024
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