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Organization
MIDSOUTH TRANSITIONS ARKANSAS PA
Active
Organization
MIDSOUTH TRANSITIONS ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COY WILLIAMSON (COO)
(430) 200-4350
Entity
Organization
Contact information
Practice address
6010 TRINITY HTS, TEXARKANA, AR 71854-8318
(430) 200-4350
(833) 491-2722
Mailing address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(430) 200-4350
(866) 337-1615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/13/2020
Last updated
11/14/2023
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