| Spanish Trace Clinic | |
|
1205 E 35th St Texarkana AR 71854-2746 | |
| (903) 735-5355 | |
| (903) 735-5399 |
| Full Name | Spanish Trace Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1205 E 35th St, Texarkana, Arkansas |
| Authorized Official Name and Position | Jerry B Srtingfellow (PROVIDER) |
| Authorized Official Contact | 9037355355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spanish Trace Clinic Po Box 811 Texarkana TX 75504-0811 Ph: (903) 735-5355 | Spanish Trace Clinic 1205 E 35th St Texarkana AR 71854-2746 Ph: (903) 735-5355 |
| NPI Number | 1639163363 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639163363 | NPI | - | NPPES |
| CJ8571 | Other | RAILROAD MEDICARE | |
| 5C286 | Other | AR | BLUE CROSS |
| 46KU | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
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