MEDICARE: COLLEEN SUZANNE ADKINS 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	207K00000X	Allergy & Immunology Physician	Q5317	TX

General Provider Information

NPI Number	:	1689991879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN SUZANNE ADKINS M.D.

Provider Business Mailing Address
First Line	:	4515 SETON CENTER PKWY
Second Line	:	SUITE 215
City	:	AUSTIN
State	:	TX
Zip	:	78759-5290
Country	:	US
Telephone Number	:	512-231-5506
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	11714 WILSON PARKE AVE
Second Line	:	SUITE
City	:	AUSTIN
State	:	TX
Zip	:	78726-4060
Country	:	US
Telephone Number	:	737-247-7200
Fax Number	:	512-406-7368

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

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	10/20/2015

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