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Organization
MIDSOUTH TRANSITIONS MEDICAL GROUP
Active
Organization
MIDSOUTH TRANSITIONS MEDICAL GROUP
Active
Other names
MIDSOUTH TRANSITIONS MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
COY WILLIAMSON (PRESIDENT)
(903) 733-3729
Entity
Organization
Contact information
Practice address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(430) 200-4350
(866) 337-1615
Mailing address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(430) 200-4350
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
AP115441
TX
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/24/2018
Last updated
04/09/2026
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