Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | N3110 | TX |
NPI | 1184809154 |
---|---|
Provider Name | Dr. Colin Edward Kane |
First Address | Dallas, TX 75390-9063 |
Second Address | Dallas, TX 75390-9063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2008 |
Last Update Date | 19/04/2010 |