Organization
TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BLANKENSHIP MD (PRESIDENT)
(870) 773-1111
Entity
Organization
Contact information
Practice address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
(870) 772-7692
Mailing address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
(870) 772-7692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
06/20/2008
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