| NPI | 1063418671 |
|---|---|
| Other Name | COLLIN ORTHOPEDIC |
| Entity Type | Organization |
| Authorized Contact | CHET ALAN COLLINS Co Owner 903-597-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA 335) |
| 225000000X Orthotic Fitter (Licence: WA 1130) | |
| 225000000X Orthotic Fitter (Licence: WA 9676) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |