Individual
DR. BRITTANY ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3502 RICHMOND RD, TEXARKANA, TX 75503-0705
(903) 614-5270
(903) 614-5279
Mailing address
4077 JEFFERSON AVE, TEXARKANA, AR 71854-1509
(903) 614-5270
(903) 614-5279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
760422435
TX
207Q00000X
Family Medicine Physician
Primary
R4928
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200883090A
—
OK
01
—
716046242
AHEC-SW FAMILY PRACTICE
AR
01
—
P02599414
RR MCR
TX
Enumeration date
04/22/2014
Last updated
05/07/2021
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