Individual
COLBY DEDEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901
(361) 573-9181
Mailing address
770 OAK FOREST RD, GOLIAD, TX 77963-3625
(361) 218-2547
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
GMR00108708
TX
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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