Colunga, Ronald E

Colunga, Ronald E is an individual health care provider with primary practice located at 7700 Fish Pond Rd , Waco TX 76710-1031. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Colunga, Ronald E can be contacted via phone (254) 761-4444.

Contact Information

Primary practice address
7700 Fish Pond Rd Waco TX 76710-1031
Phone: (254) 761-4444
Fax: (254) 761-4441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X DPA164200 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10774 Texas

Profile Details

NPI number 1669579371
LBN Legal business name Colunga, Ronald E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jan 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669579371 NPPES
California MEDICAID GR0046090

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