Healthcare Provider Details

I. General information

NPI: 1023147634
Provider Name (Legal Business Name): MS. BARBARA COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5031 EDFIELD ST
HOUSTON TX
77033-3511
US

IV. Provider business mailing address

PO BOX 301193
HOUSTON TX
77230-1193
US

V. Phone/Fax

Practice location:
  • Phone: 713-669-1600
  • Fax: 713-741-4680
Mailing address:
  • Phone: 713-669-1600
  • Fax: 713-741-4680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number007684
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: