Individual
COLIN LEONARD HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3758 PARK PLAZA CIRCLE, PORT ARTHUR, TX 77642
(409) 983-2035
(409) 982-6513
Mailing address
3758 PARK PLAZA CIRCLE, PORT ARTHUR, TX 77642
(409) 983-2035
(409) 982-6513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121390201
—
TX
Enumeration date
09/28/2006
Last updated
11/21/2014
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