# COLLOM & CARNEY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLLOM & CARNEY CLINIC
- **Other names:** Collom & Carney Clinic - New Boston
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811979586
- **Legal business name:** COLLOM & CARNEY CLINIC
- **Authorized official:** REX THOMAS SIMMONS II (CEO ADMINISTRATOR)
- **Authorized official phone:** (903) 614-3280

## Contact information

- **Practice address:** 128 N ELLIS ST, NEW BOSTON, TX 75570-2904
- **Practice address phone:** (903) 628-1104
- **Mailing address:** 5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
- **Mailing address phone:** (903) 614-3000
- **Mailing address fax:** (903) 614-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 02/24/2023