Individual
JAMES LANE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4500
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
577239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158352805
—
TX
05
—
154340701
—
AR
05
—
158352802
—
TX
05
—
158352803
—
TX
01
—
75-1976930-005
TRICARE
TX
01
—
82711
BLUE CROSS
AR
01
—
8307UB
BCBS
TX
01
—
8339UE
BCBS
TX
01
—
83899U
BLUE CROSS
TX
01
—
P00933609
RAILROAD
TX
01
—
TIN PLUS 015
TRICARE
TX
Enumeration date
07/11/2005
Last updated
10/14/2014
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