Organization
COLLINS FISHER RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. O. PRESTON COPELAND M.D. (OWNER)
(713) 481-3533
Entity
Organization
Contact information
Practice address
1400 HWY 59 BYPASS, WHARTON, TX 77488
(713) 481-3533
(713) 432-0221
Mailing address
PO BOX 421209, HOUSTON, TX 77242-1209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP3077
RAILROAD MEDICARE
TX
Enumeration date
12/08/2005
Last updated
03/20/2009
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