Provider Demographics
NPI:1174619571
Name:COLLINGS, MARY L (DC)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:L
Last Name:COLLINGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 SNIDER PLZ STE 140
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-5651
Mailing Address - Country:US
Mailing Address - Phone:214-252-0000
Mailing Address - Fax:214-252-0016
Practice Address - Street 1:6901 SNIDER PLZ STE 140
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5651
Practice Address - Country:US
Practice Address - Phone:214-252-0000
Practice Address - Fax:214-252-0016
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU49849Medicare UPIN
TX603895Medicare ID - Type Unspecified