# COLLIN PHYSICAN SUPPORT

> 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:** 1902076151
- **Authorized official:** DR. JEAN M FERRARA MD (PARTNER)
- **Authorized official phone:** (972) 612-8829

## Contact information

- **Practice address:** 4001 W 15TH ST, \#245, PLANO, TX 75093-5841
- **Practice address phone:** (972) 612-8829
- **Practice address fax:** (972) 612-2875
- **Mailing address:** 4001 W 15TH ST, \#245, PLANO, TX 75093-5841
- **Mailing address phone:** (972) 612-8829
- **Mailing address fax:** (972) 612-2875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008