MR. CHAD COLLOM


Address: 2206 Marilla, Dallas, TX 75201
Phone: 2145668727

MR. CHAD COLLOM (NPI# 1396906285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396906285
Entity Type Individual
Full Name MR. CHAD COLLOM
Credential RN, MSN, PMHNP-BC
Practice Address 2206 Marilla
Dallas
TX 75201
Mailing Address 2206 Marilla Drive
Dallas
TX 75201-5906
Practice Telephone 2145668727
Mailing Telephone 2145668727
Enumeration Date 2008-06-23
Last Update Date 2009-04-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
675826 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2206 MARILLA
City DALLAS
State TX
Zip Code 75201

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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