Individual
BRIANA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Mailing address
701 LOBLOLLY LN, TYLER, TX 75701-0448
(903) 574-6817
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
312647
TX
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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