Individual
EVAN COLMENERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1208 N I27, PLAINVIEW, TX 79072-3937
(806) 291-5113
Mailing address
1208 N I27, PLAINVIEW, TX 79072-3937
(806) 291-5112
(806) 296-7990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10057217
TX
207Q00000X
Family Medicine Physician
Primary
R5252
TX
Other
Enumeration date
05/05/2016
Last updated
07/25/2019
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