Organization
TWICE AS NICE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE ANN CHAUNCY ACNP-BC (ADVANCED NURSE PRACTITIONER)
(903) 831-0161
Entity
Organization
Contact information
Practice address
6 WOODMONT CROSSING ST, TEXARKANA, TX 75503-2100
(903) 826-4404
Mailing address
6 WOODMONT CROSSING ST, TEXARKANA, TX 75503-2100
(903) 836-1016
(903) 831-0162
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP121596
TX
363LF0000X
Family Nurse Practitioner
AP126756
TX
Other
Enumeration date
04/29/2016
Last updated
10/11/2021
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