Individual
ALICIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CIRCLE DR STE 300, FORT WORTH, TX 76119-8118
(817) 413-6320
Mailing address
1500 CIRCLE DR STE 300, FORT WORTH, TX 76119-8118
(817) 413-6320
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
768162
TX
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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