Individual
MRS. SHANTELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 LAKE ROBERTS WAY, ARLINGTON, TX 76002-4044
(817) 378-4021
Mailing address
7200 LAKE ROBERTS WAY, ARLINGTON, TX 76002-4044
(817) 378-4021
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
22128069
TX
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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