| Cmg Family Clinic Of Texarkana | |
|
401 East St Texarkana AR 71854-6507 | |
| (870) 773-2177 | |
| (870) 773-2758 |
| Full Name | Cmg Family Clinic Of Texarkana |
|---|---|
| Speciality | Family Medicine |
| Location | 401 East St, Texarkana, Arkansas |
| Authorized Official Name and Position | Donna J Mikulecky (CEO/PRESIDENT) |
| Authorized Official Contact | 7132772208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Family Clinic Of Texarkana 401 East St Texarkana AR 71854-6507 Ph: (870) 773-2177 | Cmg Family Clinic Of Texarkana 401 East St Texarkana AR 71854-6507 Ph: (870) 773-2177 |
| NPI Number | 1255397469 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255397469 | NPI | - | NPPES |
| 081267903 | Medicaid | TX | |
| 127508002 | Medicaid | AR | |
| 081267904 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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