Provider Demographics
NPI:1770823296
Name:COLLINS, VICKIE SMITH
Entity Type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:SMITH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 ALLISON RD
Mailing Address - Street 2:B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-5228
Mailing Address - Country:US
Mailing Address - Phone:713-302-0471
Mailing Address - Fax:832-516-8102
Practice Address - Street 1:5913 ALLISON RD
Practice Address - Street 2:B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-5228
Practice Address - Country:US
Practice Address - Phone:713-302-0471
Practice Address - Fax:832-516-8102
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide