Provider Demographics
NPI:1588130926
Name:COLBY, LAQUISHA (NP)
Entity type:Individual
Prefix:
First Name:LAQUISHA
Middle Name:
Last Name:COLBY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LAQUISHA
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6501 EXCELLENCE WAY APT 1054
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1218
Mailing Address - Country:US
Mailing Address - Phone:469-955-3170
Mailing Address - Fax:
Practice Address - Street 1:2021 N MACARTHUR BLVD STE 435
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2219
Practice Address - Country:US
Practice Address - Phone:972-445-9515
Practice Address - Fax:972-445-9414
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138117363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner