Collom & Carney Clinic Association
Internal Medicine in Texarkana, TX. Organization (NPI-2).
NPI number1619959244
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1619959244
- Entity type
- Organization (NPI-2)
- Legal business name
- Collom & Carney Clinic Association
- Organization subpart
- Yes
- Enumeration date
- Nov 18, 2005
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Collom & Carney Clinic (Other Name)
- Collom And Carney Clinic Internal Medicine (Other Name)
Practice location
5002 Cowhorn Creek RdTexarkana, TX 75503
Phone 903-614-3000 · Fax 903-614-3525
Mailing address
5002 Cowhorn Creek RdTexarkana, TX 75503
Phone 903-614-3000 · Fax 903-614-3525
Authorized official
Mary E Dwight
Chief Operating Officer
9036143282
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