Collom And Carney Clinic Neurology | |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 | |
(903) 614-3000 | |
(903) 614-3525 |
Full Name | Collom And Carney Clinic Neurology |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 5002 Cowhorn Creek Rd, Texarkana, Texas |
Authorized Official Name and Position | Mary E Dwight (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 9036143282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Collom And Carney Clinic Neurology 5002 Cowhorn Creek Rd Texarkana TX 75503-9766 Ph: (903) 614-3000 | Collom And Carney Clinic Neurology 5002 Cowhorn Creek Rd Texarkana TX 75503-9766 Ph: (903) 614-3000 |
NPI Number | 1215918693 |
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Provider Enumeration Date | 11/10/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215918693 | NPI | - | NPPES |
CU0435 | Other | RAILROAD MEDICARE | |
082233001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (Texas) | Primary |
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