CHARLES HOLMES MCCOLLUM MD NPI 1225091689

NPI Information

NPI: 1225091689
Provider Name: CHARLES HOLMES MCCOLLUM, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
6565 FANNIN ST
DEPARTMENT OF INTERNAL MEDICINE
HOUSTON, TX
ZIP 77030
Phone: (713) 790-3311
Get Directions

Charles Holmes Mccollum, MD is a vascular surgery surgery in Houston, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Charles Holmes Mccollum, MD NPI is 1225091689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6565 FANNIN ST
DEPARTMENT OF INTERNAL MEDICINE
HOUSTON, TX
ZIP 77030-707
Phone: (713) 790-3311
Fax: (713) 790-4699

The enumeration date for this NPI number is 4/7/2006 and was last updated on 12/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		C7701	TEXAS	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		C7701	TEXAS	No
3	2086S0129X	Surgery	Vascular Surgery	C7701	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B24723	MEDICARE UPIN
2	84R916	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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