Individual
DR. THOMAS L COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 LOOP RD STE A, WINNSBORO, LA 71295-3343
(318) 435-6363
(318) 435-4646
Mailing address
2106 LOOP RD STE A, WINNSBORO, LA 71295-3343
(318) 435-6363
(318) 435-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.019859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1387533
—
LA
05
—
1449571
—
LA
01
—
4371062
AETNA PROVIDER NUMBER
LA
01
—
L92021
VANTAGE PROVIDER NUMBER
LA
Enumeration date
02/23/2006
Last updated
03/17/2015
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