Organization
COLLOM & CARNEY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E DWIGHT MHA, CCS-P (ASST. ADMINISTRATOR OF PATIENT SERV)
(903) 614-3282
Entity
Organization
Contact information
Practice address
4110 RICHMOND PL, TEXARKANA, TX 75503-0001
(903) 831-6312
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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