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Organization
TEXARKANA INTERNAL MEDICINE ASSOCIATION PA
Active
Organization
TEXARKANA INTERNAL MEDICINE ASSOCIATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD KHALIL MD (PARTNER/PHYSICIAN)
(903) 793-7994
Entity
Organization
Contact information
Practice address
4082 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 793-7994
(903) 793-7996
Mailing address
4082 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 793-7994
(903) 793-7996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080LT
BLUE CROSS
TX
01
—
9R065
BLUE CROSS
AR
Enumeration date
06/12/2006
Last updated
08/22/2020
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