Organization
COLLOM & CARNEY CLINIC ASSOCIATION
Active
Parent organization
COLLOM & CARNEY CLINIC ASSOCIATION
Other names
Collom & Carney Clinic Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLOM & CARNEY CLINIC ASSOCIATION
Authorized official
DANA ROBYN MORTON (DIRECTOR CONTRACTING CREDENTIALING)
(903) 614-3283
Entity
Organization
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0659663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095197201
—
TX
05
—
143671709
—
AR
01
—
CU0435
RAILROAD MEDICARE
TX
Enumeration date
11/22/2005
Last updated
05/01/2026
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