Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Noah Kai Collaco

Individual provider General Practice Physician · NPI 1619595204

Noah Kai Collaco is a General Practice in Houston, Texas. Qualified in 2024, 2 years ago. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2020

Practice location Address checks out

3914 Gramercy St
Houston, TX 77025-1107
Phone: (713) 888-0881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence V9871 (TX)

Record details

NPI number1619595204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025
Mailing address3914 Gramercy St Ste A, Houston, TX 77025-1107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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