Collaborative Surgical Services, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

COLLABORATIVE SURGICAL SERVICES, PLLC

Practice address

2024 W 15TH St Ste F #328
Plano, TX 75075-7364

Phone

(469) 283-0978

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Tim Delong

Title

Pams Npi Administrator

Phone

(210) 598-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1821567678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W 15TH ST STE F #328",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757364",
            "telephone_number": "469-283-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W 15TH ST STE F #328",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757364",
            "telephone_number": "469-283-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedi Coleman
• Nicholas J Coleman, D.C.
• Ulyesse Coleman
• Victoria Coleman
• Colette NP in Family Health PLLC
• Cynthia Kathleen Collenburg, M.S. CCC-SLP
• Lexi Colley, LMSW
• Diamond Collier
• Justin Collier, M.D.
• Kailey D Collier, PA-C

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.