Individual
TYRONE J. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-3786
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.08156R
LA
207RI0011X
Interventional Cardiology Physician
Primary
MD08156R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06880855
—
MS
05
—
1389269
—
LA
Enumeration date
05/03/2006
Last updated
03/18/2015
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