# TEXARKANA WOMEN'S CLINIC PA

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

## Provider details

- **NPI number:** 1609882943
- **Authorized official:** VERNON C SHAFFER JR. MD (PRESIDENT)
- **Authorized official phone:** (903) 614-5430

## Contact information

- **Practice address:** 2604 ST MICHAEL DR, SUITE 410, TEXARKANA, TX 75503
- **Practice address phone:** (903) 614-5430
- **Practice address fax:** (903) 614-5464
- **Mailing address:** 2604 ST MICHAEL DR, SUITE 410, TEXARKANA, TX 75503
- **Mailing address phone:** (903) 614-5430
- **Mailing address fax:** (903) 614-5464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020