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Individual

MR. RONALD E COLUNGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
7700 FISH POND RD, WACO, TX 76710-1031
(254) 761-4444
(254) 761-4441
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
DPA164200
CA
363AM0700X
Medical Physician Assistant
Primary
PA10774
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0046090
CA
Enumeration date
09/17/2006
Last updated
01/13/2021
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