| Collom And Carney Clinic Psychiatry | |
|
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 | |
| (903) 614-3800 | |
| (903) 794-1446 |
| Full Name | Collom And Carney Clinic Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| 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 |
|---|---|
| Collom And Carney Clinic Psychiatry 5002 Cowhorn Creek Rd Texarkana TX 75503-9766 Ph: (903) 614-3000 | Collom And Carney Clinic Psychiatry 5002 Cowhorn Creek Rd Texarkana TX 75503-9766 Ph: (903) 614-3800 |
| NPI Number | 1265413645 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265413645 | NPI | - | NPPES |
| CU0435 | Other | TX | RAILROAD MEDICARE |
| 084148801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Texas) | Primary |
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