Individual
MR. EDWARD ANGEL COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7607 TOWN CENTER BLVD, ROSENBERG, TX 77471-6219
(281) 344-0207
(281) 239-0114
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-4584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307544201
—
TX
01
—
875N29
BC/BS #
TX
01
—
P01090443
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/26/2006
Last updated
05/10/2013
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