# GABBIE MEDICAL CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023049947
- **Authorized official:** DR. MARK O GABBIE MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (903) 614-8337

## Contact information

- **Practice address:** 401 EAST ST, TEXARKANA, AR 71854-6507
- **Practice address phone:** (903) 614-8337
- **Practice address fax:** (903) 614-5251
- **Mailing address:** 401 EAST ST, TEXARKANA, AR 71854-6507
- **Mailing address phone:** (903) 614-8337
- **Mailing address fax:** (903) 614-5251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 04/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0021LM | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 155508002 | — | AR |
| 05 | — | 165764501 | — | TX |
| 01 | — | 5099470001 | DME | TX |
| 01 | — | 9R059 | BLUE CROSS BLUE SHIELD | AR |