Collins, Cleve Brantley

Collins, Cleve Brantley is an individual health care provider with primary practice located at 5131 Medical Dr Ste 120, San Antonio TX 78229-5062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Collins, Cleve Brantley can be contacted via phone (210) 614-1515.

Contact Information

Primary practice address
5131 Medical Dr Ste 120 San Antonio TX 78229-5062
Fax: (210) 615-6904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X F2608 Texas

Profile Details

NPI number 1730154667
LBN Legal business name Collins, Cleve Brantley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 14th, 2012 - about 12 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 1730154667 NPPES
Texas MEDICAID 115030203

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