Organization
TIMOTHY K. COLGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLEE CLOUD (OFFICE MANAGER)
(409) 658-7748
Entity
Organization
Contact information
Practice address
3030 NORTH ST STE 312, BEAUMONT, TX 77702-1434
(409) 236-4900
(409) 236-6490
Mailing address
PO BOX 4356 DEPT 2234, HOUSTON, TX 77210-4356
(409) 236-4900
(409) 236-4901
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146592401
—
TX
Enumeration date
10/12/2007
Last updated
06/07/2023
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