Healthcare Provider Details

I. General information

NPI: 1598112948
Provider Name (Legal Business Name): ANDREW ALAN COLLINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5235 OVERPASS RD
BUDA TX
78610-9750
US

IV. Provider business mailing address

601 E 15TH ST
AUSTIN TX
78701-1930
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-3540
  • Fax: 512-324-3541
Mailing address:
  • Phone: 512-324-8355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberS8020
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: