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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750305710 | NPPES |
| Texas | MEDICAID | 120213702 | |
| Texas | Other | 8JX705 | |
| Texas | Other | 693542 | |
| Texas | MEDICAID | 120213706 |
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