Provider Demographics
NPI:1053613646
Name:COLLINS, DIANA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:MARIA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:ONE SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:SUITE 955
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3558
Mailing Address - Country:US
Mailing Address - Phone:281-240-7477
Mailing Address - Fax:281-240-7508
Practice Address - Street 1:1 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:SUITE 955
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3560
Practice Address - Country:US
Practice Address - Phone:281-240-7477
Practice Address - Fax:281-240-7508
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ45342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry