MEDICARE: JANET COLLINS M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	H-4245	TX

General Provider Information

NPI Number	:	1609888692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET COLLINS M.D.

Provider Business Mailing Address
First Line	:	5847 MCCOMMAS BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5783
Country	:	US
Telephone Number	:	214-828-4025
Fax Number	:

Provider Business Practice Location Address
First Line	:	8226 DOUGLAS AVE
Second Line	:	SUITE 805
City	:	DALLAS
State	:	TX
Zip	:	75225-5943
Country	:	US
Telephone Number	:	214-361-7009
Fax Number	:

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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