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Organization

COLLOM AND CARNEY CLINIC ASSOCIATION

Active
Parent organization
COLLOM AND CARNEY CLINIC
Other names
Collom and Carney Clinic Ophthalmology
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLLOM AND CARNEY CLINIC
Authorized official
MARY E DWIGHT CCS-P, MHA, CMPE (CHIEF OPERATING OFFICER)
(903) 614-3282
Entity
Organization

Contact information

Practice address
5402 SUMMERHILL RD, TEXARKANA, TX 75503
(903) 614-3937
(903) 792-5534
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
082229801
TX
01
CU0435
RAILROAD MEDICARE
Enumeration date
11/17/2005
Last updated
08/22/2025
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