Organization
COLLINS BROS., INC.
Active
Other names
Collin Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
CHET ALAN COLLINS CERTIFIED PEDORTHIST (CO-OWNER)
(903) 597-6566
Entity
Organization
Contact information
Practice address
1318 S BECKHAM AVE, TYLER, TX 75701-3322
(903) 597-6566
(903) 597-6582
Mailing address
1318 S BECKHAM AVE, TYLER, TX 75701-3322
(903) 597-6566
(903) 597-6582
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
335
WA
225000000X
Orthotic Fitter
1130
WA
225000000X
Orthotic Fitter
Primary
9676
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530909
BCBS OF TX
TX
01
—
C08454607
CAROLE DAVENPORT EDI SUB.
TX
Enumeration date
06/28/2005
Last updated
09/11/2025
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