Organization Active NPI

Richard Earle Collier MD PA

Doing business as Richard Earle Collier, Jr., M.D., P.A.

  • Surgery Physician
  • Conroe, TX
National Provider Identifier
1538461090
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G1635 Issued in TX
Legal business name
RICHARD EARLE COLLIER MD PA
Doing business as
Richard Earle Collier, Jr., M.D., P.A.
Practice address
1501 River Pointe Dr
Suite 150
Conroe, TX 77304-2656
Phone
(936) 539-5566
Fax
(936) 539-5774
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Karen S. Collier
Title
Office Manager
Phone
(936) 539-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G1635 TX Primary

Addresses

Primary practice location

1501 River Pointe Dr
Suite 150
Conroe, TX 77304-2656

Mailing address

1501 River Pointe Dr
Suite 150
Conroe, TX 77304-2656
Phone (936) 539-5566

Other identifiers 1

IdentifierTypeStateIssuer
099985601MedicaidTX

Other names 1

  • Richard Earle Collier, Jr., M.D., P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

1501 River Pointe Dr
Ste 150
Conroe, TX 77304
Phone (832) 308-3470

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1538461090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR",
            "address_2": "SUITE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042656",
            "telephone_number": "936-539-5566",
            "fax_number": "936-539-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR",
            "address_2": "SUITE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042656",
            "telephone_number": "936-539-5566",
            "fax_number": "936-539-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD EARLE COLLIER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-539-5566"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G1635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099985601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Earle Collier, Jr., M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.