Individual
CHARLES DAVID COLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6720 BERTNER ST, SUITE O-520, HOUSTON, TX 77030-2604
(832) 355-2666
(832) 355-6500
Mailing address
PO BOX 4398, HOUSTON, TX 77210-4398
(832) 355-2666
(832) 355-6500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143955601
—
TX
05
—
143955602
—
TX
Enumeration date
07/26/2005
Last updated
09/15/2009
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