Individual
DEBORAH MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6611 W AMARILLO BLVD, AMARILLO, TX 79106-1755
(806) 212-4535
(806) 212-4555
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J8313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049HR
BLUECROSS/BLUESHIELD
TX
Enumeration date
06/08/2006
Last updated
07/27/2020
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