Provider Demographics
NPI:1922080688
Name:COLLINS, JAMES KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KENNETH
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2300
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1508207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AV568OtherBLUE CROSS BLUE SHIELD
TXP00688206OtherRAILROAD MEDICARE NORTH CYPRESS ANESTHESIOLOGY ASSOCIATES
TX050041682OtherRAILROAD MEDICARE
TX117507706Medicaid
TX117507707Medicaid
TX117507708Medicaid
TX8022J5OtherBCBS
TXP00688206OtherRAILROAD MEDICARE NORTH CYPRESS ANESTHESIOLOGY ASSOCIATES
TX117507708Medicaid
TX8L7055Medicare PIN
TX050041682OtherRAILROAD MEDICARE