Provider Demographics
NPI:1972681351
Name:COLLINS, CHARLES ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ANTHONY
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 FILLY FLD
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-4812
Mailing Address - Country:US
Mailing Address - Phone:214-728-3755
Mailing Address - Fax:972-724-7247
Practice Address - Street 1:816 FILLY FLD
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-4812
Practice Address - Country:US
Practice Address - Phone:214-728-3755
Practice Address - Fax:972-692-5298
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6280DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609022Medicare UPIN
TX609022Medicare ID - Type Unspecified