Organization
FAMILY & SEDATION DENTISTRY OF TEXARKANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DARREL FAIN (DENTIST/PRESIDENT)
(903) 832-1727
Entity
Organization
Contact information
Practice address
3201 RICHMOND RD STE 1, TEXARKANA, TX 75503-0708
(903) 832-1727
(903) 832-0797
Mailing address
3201 RICHMOND RD STE 1, TEXARKANA, TX 75503-0708
(903) 832-1727
(903) 832-0797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27619
TX
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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