Organization
COLLINS COMPLETE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH COLLINS (FNP)
(903) 630-9170
Entity
Organization
Contact information
Practice address
1910 E SE LOOP 323 # 176, TYLER, TX 75701
(903) 630-9170
Mailing address
1910 E SE LOOP 323 # 176, TYLER, TX 75701-8337
(903) 630-9170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP133658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548792369
NPI
—
Enumeration date
04/12/2017
Last updated
07/27/2018
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