Individual
COLLIN JAMES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 106, SHREVEPORT, LA 71105-6000
(318) 798-4573
(318) 798-4651
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
344684
LA
363A00000X
Physician Assistant
PA-1227
AR
363A00000X
Physician Assistant
PT2023-081
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2904345
—
LA
Enumeration date
11/27/2023
Last updated
06/24/2026
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