Terry L. Collins, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

E3542 Issued in TX

Practice address

24710 Ellesmere
San Antonio, TX 78257-1368

Phone

(210) 614-5316

Fax

(210) 614-5316

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Texas Radiology Group PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1851368039
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1992772487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24710 ELLESMERE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571368",
            "telephone_number": "210-614-5316",
            "fax_number": "210-614-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24710 ELLESMERE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571368",
            "telephone_number": "210-614-5316",
            "fax_number": "210-614-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TERRY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E3542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116856904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116856905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leora Cavazos Collins, M.D.
• Leslie Collins, COTA/L
• Michele Barragan Collins, LVN
• Randall Stephen Collins, OD
• Roxanne Collins, LPC
• Toni Collins
• Dana Collinsworth
• Klaus Dieter Collinsworth, D.D.S
• Laurie Collis, DNP
• Colmex Home Care, LLC

• Diagnostic Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.