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Individual

COLLEEN MACKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TRAINEE (MD)

Contact information

Practice address
1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030-3411
(832) 824-1170
(832) 825-9302
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1170
(832) 825-9302

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
U3585
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
U3585
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2019
Last updated
04/15/2026
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