Individual
MARK F. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 9TH AVE, FORT WORTH, TX 76104-3906
(817) 927-2329
(817) 924-0177
Mailing address
1325 PENNSYLVANIA AVE, STE 200, FORT WORTH, TX 76104-2100
(817) 332-9957
(817) 336-3130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G6709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010066226
RAIL ROAD MEDICARE
TX
05
—
031762003
—
TX
01
—
P02531907
MEDICARE RAIL ROAD
TX
Enumeration date
07/17/2006
Last updated
01/04/2021
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