Provider Demographics
NPI:1275005225
Name:COLLINS, AARON CHRITOPHER
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:CHRITOPHER
Last Name:COLLINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12606 PANTHER VILLA CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5611
Mailing Address - Country:US
Mailing Address - Phone:318-307-3008
Mailing Address - Fax:
Practice Address - Street 1:12606 PANTHER VILLA CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5611
Practice Address - Country:US
Practice Address - Phone:318-307-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver