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Organization

COLLOM AND CARNEY CLINIC ASSOCIATION

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

Provider details

NPI number
Legal business name
COLLOM AND CARNEY CLINIC ASSOCIATION
Authorized official
MARY E DWIGHT CCS-P, MHA (ASST ADMINISTRATOR OF PATIENT SERVI)
(903) 614-3282
Entity
Organization

Contact information

Practice address
511 W 11TH ST, TEXARKANA, TX 75501-4300
(903) 614-3780
(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
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
03/18/2014
Last updated
02/09/2015
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