Organization
GABBIE MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK O GABBIE MD (OWNER/PHYSICIAN)
(903) 614-8337
Entity
Organization
Contact information
Practice address
401 EAST ST, TEXARKANA, AR 71854-6507
(903) 614-8337
(903) 614-5251
Mailing address
401 EAST ST, TEXARKANA, AR 71854-6507
(903) 614-8337
(903) 614-5251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021LM
BLUE CROSS BLUE SHIELD
TX
05
—
155508002
—
AR
05
—
165764501
—
TX
01
—
5099470001
DME
TX
01
—
9R059
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/06/2006
Last updated
04/19/2013
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