Provider Demographics
NPI:1265724686
Name:COLLIER, RUTH AMANDA (PA-C)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:AMANDA
Last Name:COLLIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RIVERWAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1920
Mailing Address - Country:US
Mailing Address - Phone:713-355-6111
Mailing Address - Fax:713-355-6111
Practice Address - Street 1:9297 WAHRENBERGER RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2441
Practice Address - Country:US
Practice Address - Phone:936-788-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01088363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical