Individual
NOAH KAI COLLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3914 GRAMERCY ST, HOUSTON, TX 77025-1107
(713) 888-0881
Mailing address
3914 GRAMERCY ST STE A, HOUSTON, TX 77025-1107
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
V9871
TX
Other
Enumeration date
07/09/2020
Last updated
07/12/2025
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