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Individual

EVAN COLLINS

Active
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Individual

EVAN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
K3138
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116172106
TX
01
601771109
US DEPT OF LABOR
01
610197300
US DEPT OF LABOR
TX
01
616771101
US DEPT OF LABOR
01
616771105
US DEPT OF LABOR
01
616771110
US DEPT OF LABOR
01
8S9715
BLUE CROSS BLUE SHIELD
TX
01
P00252560
MEDICARE RAILROAD
TX
01
P01070463
RR MEDICARE
TX
01
P01321615
RR MEDICARE
TX
Enumeration date
06/26/2006
Last updated
07/22/2014
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