Healthcare Provider Details
I. General information
NPI: 1831585421
Provider Name (Legal Business Name): CAMERON COLLIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/09/2015
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 S LOOP 340
ROBINSON TX
76706-4828
US
IV. Provider business mailing address
43 N SHORE CIR
WACO TX
76708-5870
US
V. Phone/Fax
- Phone: 214-970-6817
- Fax: 844-803-4513
- Phone: 512-925-8434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | S1068 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: