Provider Demographics
NPI:1194971465
Name:COLLINS, ALISON MEREDITH (PA)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MEREDITH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:MEREDITH
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:7800 SHOAL CREEK BLVD
Mailing Address - Street 2:205-N
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1098
Mailing Address - Country:US
Mailing Address - Phone:512-206-4341
Mailing Address - Fax:512-407-1947
Practice Address - Street 1:3801 N LAMAR BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-4080
Practice Address - Country:US
Practice Address - Phone:512-206-3601
Practice Address - Fax:512-421-3830
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L4222Medicare PIN