Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 13011 | TX |
N | 111NP0017X | Pediatric Chiropractor | 13011 | TX |
NPI | 1780053728 |
---|---|
Provider Name | Dr. Lauren Collins |
First Address | Houston, TX 77006-5851 |
Second Address | Houston, TX 77006-5851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2015 |
Last Update Date | 21/09/2015 |