Individual
CHIQUITA M COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 HOUSTON ST STE 132, FORT WORTH, TX 76102-5004
(682) 267-3858
Mailing address
209 W 2ND ST STE 332, FORT WORTH, TX 76102-3021
(817) 809-8126
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
05/27/2026
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