MEDICARE: DR. LAUREN COLLINS DC

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	111N00000X	Chiropractor	13011	TX
2	111NP0017X	Pediatric Chiropractor	13011	TX

General Provider Information

NPI Number	:	1780053728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN COLLINS DC

Provider Business Mailing Address
First Line	:	4306 YOAKUM BLVD
Second Line	:	SUITE 570
City	:	HOUSTON
State	:	TX
Zip	:	77006-5851
Country	:	US
Telephone Number	:	713-730-9410
Fax Number	:

Provider Business Practice Location Address
First Line	:	4306 YOAKUM BLVD
Second Line	:	SUITE 570
City	:	HOUSTON
State	:	TX
Zip	:	77006-5851
Country	:	US
Telephone Number	:	713-730-9410
Fax Number	:

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

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	09/21/2015

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Directions to “ DR. LAUREN COLLINS DC” Practice Location

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