College Park Surgery Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLLEGE PARK SURGERY CENTER

Practice address

3074 College Park Dr
Conroe, TX 77384-8002

Phone

(361) 652-0025

NPI assigned

Sep 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

PHRS Services

Title

General Partner

Phone

(361) 652-0025

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1104228758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3525",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033525",
            "telephone_number": "361-652-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 COLLEGE PARK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848002",
            "telephone_number": "361-652-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "SERVICES",
        "authorized_official_first_name": "PHRS",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "361-652-0025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Iban Colin, MD
• College Park Home Visits MHT LLC
• College Park RX LLC
• College Park RX LLC
• College Park RX LLC
• Richard E. Collier Jr., M.D.
• Ruth Amanda Collier, P.A.-C.
• Cynthia Collins-Jackson, LPC
• Cameron M Collins
• Ouida Marcia Collins, MD MPH

• Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.