Collom And Carney Clinic Association
Surgery in Texarkana, TX. Organization (NPI-2).
NPI number1376525832
StatusActive
Last updated in NPPESFeb 24, 2023
Details
- NPI
- 1376525832
- Entity type
- Organization (NPI-2)
- Legal business name
- Collom And Carney Clinic Association
- Organization subpart
- Yes
- Enumeration date
- Nov 18, 2005
- Certification date
- Feb 24, 2023
- Last updated
- Feb 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | TX | Yes |
| 207Y00000X | Otolaryngology | – | TX |
Other names
- Collom And Carney Clinic General Surgery & Ent (Other Name)
Practice location
5002 Cowhorn Creek RdTexarkana, TX 75503-9766
Phone 903-614-3000 · Fax 903-614-3525
Mailing address
5002 Cowhorn Creek RdTexarkana, TX 75503-9766
Phone 903-614-3000 · Fax 903-614-3525
Authorized official
Mary E Dwight
Chief Operating Officer
9036143282
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