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 |
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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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