Midsouth Homecare Pllc | |
2801 Richmond Rd # 58 Texarkana TX 75503-2123 | |
(430) 200-4350 | |
Not Available |
Full Name | Midsouth Homecare Pllc |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 2801 Richmond Rd # 58, Texarkana, Texas |
Authorized Official Name and Position | Vernon Dean Bowman (PRESIDENT) |
Authorized Official Contact | 4302004350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midsouth Homecare Pllc 2801 Richmond Rd # 58 Texarkana TX 75503-2123 Ph: () - | Midsouth Homecare Pllc 2801 Richmond Rd # 58 Texarkana TX 75503-2123 Ph: (430) 200-4350 |
NPI Number | 1295325611 |
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Provider Enumeration Date | 01/20/2021 |
Last Update Date | 05/05/2021 |
Identifier | Type | State | Issuer |
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1295325611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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