Provider Demographics
NPI:1144096819
Name:COLLINS, AMARIEE S (CPM, LM)
Entity type:Individual
Prefix:
First Name:AMARIEE
Middle Name:S
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 ACACIAWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-0006
Mailing Address - Country:US
Mailing Address - Phone:832-630-4554
Mailing Address - Fax:
Practice Address - Street 1:1914 ACACIAWOOD WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-0006
Practice Address - Country:US
Practice Address - Phone:832-630-4554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7601000130176B00000X
2443982471S1302X, 2471V0105X
23100337176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography