# TEMPLE MEMORIAL PEDIATRIC CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Memorial Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972654663
- **Authorized official:** MRS. SANDRA K VARNER (CEO)
- **Authorized official phone:** (903) 794-2705

## Contact information

- **Practice address:** 1710 MOORES LN, TEXARKANA, TX 75503-1858
- **Practice address phone:** (903) 794-2705
- **Practice address fax:** (903) 793-1203
- **Mailing address:** 1710 MOORES LN, TEXARKANA, TX 75503-1858
- **Mailing address phone:** (903) 794-2705
- **Mailing address fax:** (903) 793-1203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 009425 | TX | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 04/10/2024