Basic Information
Provider Information
NPI: 1194971465
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLLINS
FirstName: ALISON
MiddleName: MEREDITH
NamePrefix: MRS.
NameSuffix:  
Credential: P.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: COOK
OtherFirstName: ALISON
OtherMiddleName: MEREDITH
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: PA
OtherLastNameType: 1
Mailing Information
Address1: 7800 SHOAL CREEK BLVD
Address2: 205-N
City: AUSTIN
State: TX
PostalCode: 787571098
CountryCode: US
TelephoneNumber: 5122064341
FaxNumber: 5124071947
Practice Location
Address1: 3801 N LAMAR BLVD
Address2: STE. 300
City: AUSTIN
State: TX
PostalCode: 787564080
CountryCode: US
TelephoneNumber: 5122063601
FaxNumber: 5124213830
Other Information
ProviderEnumerationDate: 08/18/2008
LastUpdateDate: 01/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
207RC0000XPATXN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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