Individual
DR. DARRYL DEWITT COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 CEDAR DR STE A, PORTLAND, TX 78374-2913
(361) 777-2886
(361) 777-3667
Mailing address
213 CEDAR DR STE A, PORTLAND, TX 78374-2913
(361) 777-2886
(361) 777-3667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150017501
—
TX
Enumeration date
03/27/2007
Last updated
09/03/2008
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