Individual
JULIA COLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1000 BLYTHE BLVD, 4TH FLOOR, MEB, CMC/LEVINE CHILDRENS HOSPITAL, CHARLOTTE, NC 28203-5812
(704) 381-6800
Mailing address
6651 MAIN ST, LEGACY TOWER, E1420, HOUSTON, TX 77030
(832) 826-6230
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
T2007
TX
390200000X
Student in an Organized Health Care Education/Training Program
209491
NC
Other
Enumeration date
04/02/2015
Last updated
06/29/2023
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