Individual
DR. NATHAN CHARLES COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 CHILDERS DR, SUITE 117, BASTROP, TX 78602-4154
(512) 800-1919
(512) 582-8520
Mailing address
13104 LIPTON LOOP, 13104 LIPTON LOOP, DEL VALLE, TX 78617-3698
(512) 800-1919
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
22349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127065
—
NM
Enumeration date
10/04/2006
Last updated
10/27/2016
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