Individual
JAVIER COLON-POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2402 W MORTON ST, STE 146, DENISON, TX 75020-1476
(903) 465-6043
(903) 463-4496
Mailing address
PO BOX 1426, DENISON, TX 75021-1426
(903) 465-6043
(903) 463-4496
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220200A
—
OK
05
—
115583002
—
TX
01
—
85X576
BCBS PROV #
TX
Enumeration date
02/28/2006
Last updated
04/18/2023
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