Organization
UROLOGY ASSOCIATES OF TEXARKANA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VONGPHANET JOE SIHARATH MBA (ADMINISTRATOR)
(903) 792-7515
Entity
Organization
Contact information
Practice address
1902 MOORES LN, TEXARKANA, TX 75503-4610
(903) 792-7515
(903) 793-8225
Mailing address
1902 MOORES LN, TEXARKANA, TX 75503-4610
(903) 792-7515
(903) 793-8225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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