Organization
TEXARKANA RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN L HARPER (OFFICE MANAGER)
(903) 792-1292
Entity
Organization
Contact information
Practice address
5508 SUMMERHILL RD, TEXARKANA, TX 75503-1822
(903) 792-1292
(903) 792-2051
Mailing address
PO BOX 1325, INDIANAPOLIS, IN 46206-1325
(903) 792-1292
(903) 792-2051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107594002
—
AR
05
—
112638501
—
TX
01
—
CS0492
RAILROAD MEDICARE
TX
Enumeration date
10/04/2006
Last updated
09/03/2013
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