Provider Demographics
NPI:1538571963
Name:COLLINS, LEIGH ANN (DO)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2371 CROCKETT DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5994
Mailing Address - Country:US
Mailing Address - Phone:325-641-1140
Mailing Address - Fax:325-641-5039
Practice Address - Street 1:2371 CROCKETT DR STE 102
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5994
Practice Address - Country:US
Practice Address - Phone:325-641-1140
Practice Address - Fax:325-641-5039
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX583825390200000X
TXR2835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program