Individual
MR. GEOFF COLACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15420 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1106
(210) 812-1743
Mailing address
6602 MIA WAY UNIT 101, SAN ANTONIO, TX 78233-4247
(210) 812-1743
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
796700
TX
164X00000X
Licensed Vocational Nurse
220375
TX
Other
Enumeration date
01/28/2020
Last updated
04/06/2020
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