Individual
MR. ADAM DEAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123460
TX
367500000X
Certified Registered Nurse Anesthetist
C002786
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341054003
—
TX
05
—
6000420065
—
MO
01
—
8563UJ
BCBS
TX
01
—
P01450443
RAILROAD
TX
Enumeration date
12/28/2009
Last updated
06/07/2016
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