Organization
TEXARKANA REGIONAL HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
1000 PINE ST, TEXARKANA, TX 75501-5100
(903) 798-7317
(903) 798-7377
Mailing address
PO BOX 847045, DALLAS, TX 75284-7045
(866) 724-6662
(314) 432-9386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196542002
—
AR
05
—
207889101
—
TX
Enumeration date
04/23/2009
Last updated
05/05/2015
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