Organization
DEBORAH B MCCOLLUM, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BURGE MCCOLLUM M.D. (OWNER)
(806) 457-9107
Entity
Organization
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
2086S0129X
Vascular Surgery Physician
J8313
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
09/01/2020
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