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1408 College Dr Texarkana TX 75503-3534 | |
| (903) 794-0515 | |
| (903) 793-8000 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1408 College Dr, 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 |
|---|---|
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 Ph: (903) 614-3000 | 1408 College Dr Texarkana TX 75503-3534 Ph: (903) 794-0515 |
| NPI Number | 1285061648 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285061648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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