Provider Demographics
NPI:1619311818
Name:CHRISTOPHER D. COLLINS, MD, PA
Entity Type:Organization
Organization Name:CHRISTOPHER D. COLLINS, MD, PA
Other - Org Name:TRU-SKIN DERMATOLOGY LEANDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-601-9013
Mailing Address - Street 1:311 S HIGHWAY 183
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1834
Mailing Address - Country:US
Mailing Address - Phone:210-601-9013
Mailing Address - Fax:
Practice Address - Street 1:311 S HIGHWAY 183
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1834
Practice Address - Country:US
Practice Address - Phone:210-601-9013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty