Provider Demographics
NPI:1477948818
Name:COLACO, JULIA (MD, MPH)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:COLACO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:MCCAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:6651 MAIN ST
Mailing Address - Street 2:LEGACY TOWER, E1420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-826-6230
Mailing Address - Fax:
Practice Address - Street 1:1000 BLYTHE BLVD, 4TH FLOOR, MEB
Practice Address - Street 2:CMC/LEVINE CHILDRENS HOSPITAL
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-381-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC209491390200000X
TXT20072080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program