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Individual

SUSAN P COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-4466
Mailing address
1431 SW 1ST AVE BLDG SUITE7, OCALA, FL 34471-6500
(351) 401-1425

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP20077228
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301110360
MI
390200000X
Student in an Organized Health Care Education/Training Program
TRN25439
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP20077228
TRAINING LICENSE
TX
01
TRN25439
TRAINING LICENSE
FL
Enumeration date
06/16/2016
Last updated
07/07/2021
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