Cmg Family Clinic Of Texarkana
Family Medicine in Texarkana, AR. Organization (NPI-2).
NPI number1255397469
StatusActive
Last updated in NPPESJun 26, 2008
Details
- NPI
- 1255397469
- Entity type
- Organization (NPI-2)
- Legal business name
- Cmg Family Clinic Of Texarkana
- Organization subpart
- No
- Enumeration date
- Apr 25, 2006
- Last updated
- Jun 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
401 East StTexarkana, AR 71854-6507
Phone 870-773-2177 · Fax 870-773-2758
Mailing address
401 East StTexarkana, AR 71854-6507
Phone 870-773-2177 · Fax 870-773-2758
Authorized official
Donna J Mikulecky
Ceo/President
7132772208
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