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1548481781
HENRY LEE COLLINS
FORT WORTH, TX
NPI
1548481781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX 02164)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. HENRY LEE COLLINS CSA
2713 CLOVERMEADOW DR
FORT WORTH, TX 76123-2107
Phone number: 817-346-9151
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Mailing Address
Mr. HENRY LEE COLLINS CSA
PO BOX 1733
FORT WORTH, TX 76101-1733
Phone number: 817-455-1680
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