| Department Of Veterans Affairs | |
|
910 Realtor Avenue Texarkana AR 71854-5066 | |
| (870) 824-4181 | |
| Not Available |
| Full Name | Department Of Veterans Affairs |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 910 Realtor Avenue, Texarkana, Arkansas |
| Authorized Official Name and Position | Timothy D. Greathouse (STAFF NURSE) |
| Authorized Official Contact | 8702162512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affairs 1107 Locust St Texarkana AR 71854-5066 Ph: (903) 824-4181 | Department Of Veterans Affairs 910 Realtor Avenue Texarkana AR 71854-5066 Ph: (870) 824-4181 |
| NPI Number | 1417123258 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417123258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | L29493 (Arkansas) | Primary |
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