Individual
COLLEEN M ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11111 RESEARCH BLVD #475, AUSTIN, TX 78759-5283
(512) 338-8181
(512) 338-8366
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183298201
—
TX
05
—
183298203
—
TX
05
—
183298204
—
TX
Enumeration date
07/31/2006
Last updated
08/10/2011
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