Provider Demographics
NPI:1205606001
Name:COLLINS, ANGELA (MPH, CHES)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MPH, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20805 PACERS GAIT LN
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7630
Mailing Address - Country:US
Mailing Address - Phone:619-867-6507
Mailing Address - Fax:
Practice Address - Street 1:20805 PACERS GAIT LN
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7630
Practice Address - Country:US
Practice Address - Phone:619-867-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach