Collins, Lester Blackshear

Collins, Lester Blackshear is an individual health care provider with primary practice located at 1301 Doctors Dr , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Collins, Lester Blackshear can be contacted via phone (903) 595-2643.

Contact Information

Primary practice address
1301 Doctors Dr Tyler TX 75701
Phone: (903) 595-2643
Fax: (923) 595-6816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E4263 Texas

Profile Details

NPI number 1750305710
LBN Legal business name Collins, Lester Blackshear
Credentials M.D. P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 12th, 2018 - about 8 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 1750305710 NPPES
Texas MEDICAID 120213702
Texas Other 8JX705
Texas Other 693542
Texas MEDICAID 120213706

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