Individual
PAULETTE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
668 W MARTIN LUTHER KING BLVD APT 50, JASPER, TX 75951-2551
(832) 969-8492
Mailing address
300 N VISTA DR APT 1402, HOUSTON, TX 77073-5215
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
18289699
TX
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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