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Organization
STREAM HEALTH CARE PA
Active
Organization
STREAM HEALTH CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L REAVES (DIRECTOR)
(903) 794-7874
Entity
Organization
Contact information
Practice address
5503 N STATE LINE AVE, TEXARKANA, TX 75503-5303
(903) 794-7874
Mailing address
5503 N STATE LINE AVE, TEXARKANA, TX 75503-5303
(903) 794-7874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
12/19/2024
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