COLLIN COUNTY ADULT CLINIC NPI 1194090084

NPI Information

COLLIN COUNTY ADULT CLINIC is a primary care clinic center in Plano, TX. COLLIN COUNTY ADULT CLINIC NPI is 1194090084. The provider is registered as an organization entity type.
The provider Is Doing Business As Collin County Community Health Center.

The provider's business location address is:

2520 K AVENUE, SUITE 100
PLANO, TX
ZIP 75074
Phone: (972) 423-4941
Fax: (972) 423-2020

The provider's authorized official is Jordan Daniel Robinson .
The authorized official title is Executive Director and has the following contact phone number (972) 423-4941.

The CLIA number assigned to this NPI record is 45D0891585 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2012 and was last updated on 7/21/2015.

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:

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