Individual provider · NPI-1

Dr. Cecil Ray Cowan III, M.D.

Emergency Medicine · Texarkana, AR

NPI number1598026304
StatusActive
Last updated in NPPESNov 15, 2021

Details

NPI
1598026304
Entity type
Individual (NPI-1)
Name
Dr. Cecil Ray Cowan III
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2012
Certification date
Nov 15, 2021
Last updated
Nov 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineE-8715ARYes
207Q00000X Family MedicineE-8715AR

Practice location

300 E 6th St
Texarkana, AR 71854-5207

Phone 870-779-6000 · Fax 870-779-6093

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Phone 800-893-9698

Other practice locations

2001 S Main St
Hope, AR 71801-8124

Phone 870-722-3800 · Fax 870-722-2819

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