Individual provider · NPI-1

Lori George

Family Medicine · Texarkana, AR

NPI number1760041180
StatusActive
Last updated in NPPESJan 26, 2023

Details

NPI
1760041180
Entity type
Individual (NPI-1)
Name
Lori George
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2019
Certification date
Jan 26, 2023
Last updated
Jan 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineU1495TXYes
207P00000X Emergency MedicineE15839AR
207Q00000X Family MedicineE15839AR

Practice location

300 E 6th St
Texarkana, AR 71854-5207

Phone 870-779-6000 · Fax 870-779-6093

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6093

Other practice locations

3502 Richmond Rd
Texarkana, TX 75503-0705

Phone 903-614-5270

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Texarkana, AR