Individual
MYRA T COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3417 U OF A WAY, TEXARKANA, AR 71854-1419
(870) 779-6000
(870) 779-6055
Mailing address
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603-6069
(870) 541-6010
(870) 541-6009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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