Individual
COLIN ROSS HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
(337) 494-4936
Mailing address
PO BOX 122165, DEPT 2165, DALLAS, TX 75312-2165
(337) 494-4900
(337) 494-4936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08659
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP08659
FNP-C LICNESE
LA
Enumeration date
03/11/2016
Last updated
10/03/2016
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