Individual
MR. GARY LEE COLLINS II II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1290 S WILLIS ST, SUITE 210, ABILENE, TX 79605-4068
(325) 518-7066
(325) 232-8629
Mailing address
1333 CLARKS DR, ABILENE, TX 79602-3144
(325) 677-1564
(325) 232-8629
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1067361
TX
Other
Enumeration date
04/09/2013
Last updated
10/28/2014
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