Provider Demographics
NPI:1427333087
Name:CALABRO, COLETTE K (PA-C)
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:K
Last Name:CALABRO
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:9101 N CENTRAL EXPY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5956
Mailing Address - Country:US
Mailing Address - Phone:214-827-2814
Mailing Address - Fax:469-708-0296
Practice Address - Street 1:9101 N CENTRAL EXPY STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5956
Practice Address - Country:US
Practice Address - Phone:214-827-2814
Practice Address - Fax:469-708-0296
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL085004209363AS0400X
363AS0400X
TXPA09294363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical