Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Keitheon Raymone Collins, PA

Individual provider Medical Physician Assistant · NPI 1962220616

Mr. Keitheon Raymone Collins, PA is a Medical Physician Assistant in Ft Worth, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1925 Berrybrook Dr
Ft Worth, TX 76134-8403
Phone: (214) 930-0889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1962220616
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address1075 E Betteravia Rd # 201, Santa Maria, CA 93454-7023

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