Provider Demographics
NPI:1417179441
Name:COLLINS, ALAN CHANDLER (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CHANDLER
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:A.
Other - Middle Name:CHANDLER
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:300 BEARDSLEY LN
Mailing Address - Street 2:BLDG. E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4945
Mailing Address - Country:US
Mailing Address - Phone:512-328-4041
Mailing Address - Fax:512-328-5114
Practice Address - Street 1:300 BEARDSLEY LN
Practice Address - Street 2:BLDG. E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4945
Practice Address - Country:US
Practice Address - Phone:512-328-4041
Practice Address - Fax:512-328-5114
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor