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Texarkana Kidney Disease & Hypertension Center, INC.

Specialist in Texarkana, AR. Organization (NPI-2).

NPI number1508067331
StatusActive
Last updated in NPPESJun 20, 2008

Details

NPI
1508067331
Entity type
Organization (NPI-2)
Legal business name
Texarkana Kidney Disease & Hypertension Center, INC.
Organization subpart
No
Enumeration date
May 30, 2007
Last updated
Jun 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

422 Beech St
Texarkana, AR 71854-5310

Phone 870-773-1111 · Fax 870-772-7692

Mailing address

422 Beech St
Texarkana, AR 71854-5310

Phone 870-773-1111 · Fax 870-772-7692

Authorized official

Mike Blankenship
President
8707731111

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