# COLLIN RADER PA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497447072
- **Authorized official:** DR. COLLIN RADER DO (OWNER)
- **Authorized official phone:** (210) 441-2661

## Contact information

- **Practice address:** 17910 BULVERDE RD STE 115, SAN ANTONIO, TX 78259-3762
- **Practice address phone:** (210) 906-8478
- **Mailing address:** 2327 N SHADY ST, VISALIA, CA 93291-3932
- **Mailing address phone:** (210) 441-2661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2023
- **Last updated:** 05/23/2023