Organization
T-MED SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ORVIL COLLINS MD (PRESIDENT)
(260) 267-6142
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD, SUITE 201, FORT WAYNE, IN 46825-1601
(260) 267-6383
(888) 342-1601
Mailing address
6435 W JEFFERSON BLVD, #241, FORT WAYNE, IN 46804-6203
(260) 267-6142
(260) 918-9451
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
20042429A
IN
2084N0400X
Neurology Physician
Primary
01070620A
IN
363L00000X
Nurse Practitioner
71002635A
IN
Other
Enumeration date
12/05/2012
Last updated
10/21/2019
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