Individual
ATHOS GABRIEL COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3602 23RD ST, LUBBOCK, TX 79410-1326
(806) 368-8723
(806) 368-8724
Mailing address
4626 94TH ST, LUBBOCK, TX 79424-5016
(806) 791-5913
(806) 791-5937
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
K0690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137294812
—
TX
05
—
J1658
—
NM
Enumeration date
07/14/2005
Last updated
09/19/2023
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