Provider Demographics
NPI:1164644456
Name:JUNE WILLIAMS COLMAN MD PA
Entity Type:Organization
Organization Name:JUNE WILLIAMS COLMAN MD PA
Other - Org Name:SERENITY HEALTHCARE FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:COLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-453-6962
Mailing Address - Street 1:1140 WESTMONT DR STE 340
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-4363
Mailing Address - Country:US
Mailing Address - Phone:713-453-6962
Mailing Address - Fax:713-453-6967
Practice Address - Street 1:4702 EMANCIPATION AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004
Practice Address - Country:US
Practice Address - Phone:713-453-6962
Practice Address - Fax:713-453-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0062MYOtherBLU CROSS BLU SHLD GROUP
TX176319501Medicaid
TX117690105Medicaid
TX176853301Medicaid
TX0062MYOtherBLU CROSS BLU SHLD GROUP
TX00996UMedicare ID - Type UnspecifiedGROUP
TX176853301Medicaid
TX8F0922Medicare PIN
TX8A6188Medicare PIN
TX176319501Medicaid
TX117690105Medicaid
TX00996UMedicare PIN