Individual
PAULA GAYLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4619 S CONGRESS AVE STE A, AUSTIN, TX 78745-2342
(512) 443-3315
Mailing address
4619 S CONGRESS AVE STE A, AUSTIN, TX 78745-2342
(512) 443-3315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
806485
TX
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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