Collins, Darryl Dewitt

Collins, Darryl Dewitt is an sole proprietor health care provider with primary practice located at 213 Cedar Dr Ste A , Portland TX 78374-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Collins, Darryl Dewitt can be contacted via phone (361) 777-2886.

Contact Information

Primary practice address
213 Cedar Dr Ste A Portland TX 78374-2913
Fax: (361) 777-3667
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H7971 Texas

Profile Details

NPI number 1720107493
LBN Legal business name Collins, Darryl Dewitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Sep 3rd, 2008 - about 18 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 1720107493 NPPES
Texas MEDICAID 150017501

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