Individual provider Active NPI

Ashley Collazo, MD

  • Family Medicine Physician
  • Galveston, TX
National Provider Identifier
1295262202
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9932 Issued in TX
Practice address
400 Harborside Dr
Ste 104
Galveston, TX 77555-1120
Phone
(409) 772-2166
Fax
(409) 772-2663
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200707000746 TX Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 9739458134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9932TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince May 28, 2026 Accepting new patients
Han Pham Hulen MD PA Past Accepting new patients
Premier Provider Health Utah PLLC Family Medicine Past Accepting new patients
Premier Provider Health PA Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9932 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

400 Harborside Dr
Ste 104
Galveston, TX 77555-1120

Mailing address

400 Harborside Dr
Ste 104
Galveston, TX 77555-1120
Phone (409) 772-2166

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2026.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1295262202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DR",
            "address_2": "STE 104",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551120",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DR",
            "address_2": "STE 104",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551120",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "ASHLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.