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Individual
PHILLIP C COLLINS
Active
Individual
PHILLIP C COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E8401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124422002
—
TX
05
—
124422003
—
TX
05
—
124422005
—
TX
05
—
124422006
—
TX
01
—
80P641
BCBS OF TX
—
Enumeration date
11/07/2005
Last updated
03/27/2009
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