Organization
FAMILY PRACTICE OF TEXARKANA PLLC
Active
Other names
TEXARKANA FAMILY PRACTICE PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIGI CULBERSON CMC, CMIS (CREDENTIALING MANAGER)
(903) 793-0122
Entity
Organization
Contact information
Practice address
1408 COLLEGE DR, TEXARKANA, TX 75503-3534
(903) 794-0515
(903) 793-8000
Mailing address
1408 COLLEGE DR, TEXARKANA, TX 75503-3534
(903) 794-0515
(903) 793-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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