Organization
SOUTHWEST AR MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSONDRA HOUSER FNP (VP)
(610) 554-3274
Entity
Organization
Contact information
Practice address
1205 E 35TH ST, TEXARKANA, AR 71854-2746
(610) 554-3274
Mailing address
7804 NILE AVE, TEXARKANA, TX 75503-1303
(610) 554-3274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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