Provider Demographics
NPI:1326048489
Name:COLLINS, EMILIE SUE (AUD)
Entity Type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:SUE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N TRAVIS ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-3702
Mailing Address - Country:US
Mailing Address - Phone:903-868-2650
Mailing Address - Fax:903-870-0229
Practice Address - Street 1:1800 N TRAVIS ST
Practice Address - Street 2:SUITE D
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3702
Practice Address - Country:US
Practice Address - Phone:903-868-2650
Practice Address - Fax:903-870-0229
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50279237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T1838OtherBLUE CROSS BLUE SHIELD
TXDC1377OtherRAILROAD MEDICARE
TX8T1838OtherBLUE CROSS BLUE SHIELD
TXDC1377OtherRAILROAD MEDICARE