Provider Demographics
NPI:1215976865
Name:COLLINS, NATHANIEL PERRYMAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:PERRYMAN
Last Name:COLLINS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 BRADBURY DR SE STE 116
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4310
Mailing Address - Country:US
Mailing Address - Phone:505-272-1476
Mailing Address - Fax:
Practice Address - Street 1:UNM HEALTH SCIENCES CENTER MSC 10 5550
Practice Address - Street 2:1UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-2147
Practice Address - Fax:505-272-9437
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2025-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH0259207R00000X
NMMD2012-0412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135382305Medicaid
TX858537Medicare ID - Type Unspecified
TX135382305Medicaid