Individual
DR. CHRISTOPHER R. COLLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3914 GRAMERCY ST, SUITE A, HOUSTON, TX 77025-1160
(713) 888-0881
(713) 888-0891
Mailing address
3914 GRAMERCY ST STE A, SUITE G, HOUSTON, TX 77025-1107
(713) 888-0881
(713) 888-0891
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
L3266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075959
BLUE LINK
TX
05
—
151929002
—
TX
01
—
8BV940
BCBS
TX
Enumeration date
07/18/2006
Last updated
01/26/2016
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