MEDICARE: DR. JESS DAVID COLLINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	S7409	TX

General Provider Information

NPI Number	:	1568400356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESS DAVID COLLINS MD

Provider Business Mailing Address
First Line	:	26424 STRAKE DRIVE
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77389
Country	:	US
Telephone Number	:	936-270-5500
Fax Number	:	936-270-5505

Provider Business Practice Location Address
First Line	:	26424 STRAKE DRIVE
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77389
Country	:	US
Telephone Number	:	936-270-5500
Fax Number	:	936-270-5505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	02/07/2025

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