Collier, James Lane

Collier, James Lane is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Collier, James Lane can be contacted via phone (903) 531-4500.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 531-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 577239 Texas

Profile Details

NPI number 1740288117
LBN Legal business name Collier, James Lane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740288117 NPPES
Texas MEDICAID 158352802
Texas Other 8307UB
Texas Other 83899U
Texas Other 82711
Texas Other TIN PLUS 015
Texas Other 75-1976930-005
Texas MEDICAID 1158352805
Texas MEDICAID 158352803
Texas MEDICAID 154340701
Texas Other 8339UE
Texas Other P00933609

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