Individual provider · NPI-1

Gabriel Orlando Colon-Atencio

Technician, Other · Killeen, TX

NPI number1154633071
StatusActive
Last updated in NPPESJul 8, 2010

Details

NPI
1154633071
Entity type
Individual (NPI-1)
Name
Gabriel Orlando Colon-Atencio
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2010
Last updated
Jul 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

2301 S Clear Creek Rd
Ste. 126
Killeen, TX 76549-4143

Phone 254-554-3003 · Fax 254-554-8362

Mailing address

2301 S Clear Creek Rd
Ste. 126
Killeen, TX 76549-4143

Phone 254-554-3003 · Fax 254-554-8362

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