Organization
COLLINS COMPLETE FAMILYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH COLLINS (FNP)
(903) 630-9170
Entity
Organization
Contact information
Practice address
514 S FANNIN AVE, TYLER, TX 75702-8203
(903) 630-9170
(903) 630-5171
Mailing address
1910 E SE LOOP 323 # 176, TYLER, TX 75701-8337
(903) 630-9170
(903) 630-5171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/23/2020
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