Individual
GIUSEPPE N COLASURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
(713) 512-2230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H9857
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
H9857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106047701
CSHCN
TX
05
—
106047702
—
TX
01
—
88Y650
BCBS
TX
Enumeration date
06/04/2006
Last updated
09/02/2016
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