Individual
LESTER BLACKSHEAR COLLINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. P.C.
Contact information
Practice address
1301 DOCTORS DR, TYLER, TX 75701
(903) 595-2643
(923) 595-6816
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E4263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120213702
—
TX
05
—
120213706
—
TX
01
—
693542
MEDICARE
TX
01
—
8JX705
BCBS
TX
Enumeration date
07/26/2006
Last updated
04/03/2025
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