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Organization
COLLOM & CARNEY CLINIC ASSOCIATION
Active
Organization
COLLOM & CARNEY CLINIC ASSOCIATION
Active
Parent organization
COLLOM & CARNEY CLINIC ASSOCIATION
Other names
Collom and Carney Clinic Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLOM & CARNEY CLINIC ASSOCIATION
Authorized official
DANA ROBYN MORTON (DIRECTOR CONTRACTING CREDENTIALING)
(903) 614-3283
Entity
Organization
Contact information
Practice address
1902 MOORES LN, TEXARKANA, TX 75503-4610
(903) 792-7515
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082240501
—
TX
01
—
CU0435
RAILROAD MEDICARE
—
Enumeration date
11/17/2005
Last updated
12/19/2025
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