Provider Demographics
NPI:1730057423
Name:COLLINS, JOHN MURPHY JR
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MURPHY
Last Name:COLLINS
Suffix:JR
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 1:10 WILLOWSTONE CT
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4822
Mailing Address - Country:US
Mailing Address - Phone:682-460-3200
Mailing Address - Fax:
Practice Address - Street 1:10 WILLOWSTONE CT
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4822
Practice Address - Country:US
Practice Address - Phone:682-460-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management