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Organization

SAMARITAN INTEGRATIVE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELISA BROOKS APRN (CO-OWNER)
(903) 269-6466
Entity
Organization

Contact information

Practice address
5501 MEDICAL PARKWAY DR, TEXARKANA, TX 75503-4624
(903) 794-1636
Mailing address
5501 MEDICAL PARKWAY DR, TEXARKANA, TX 75503-4624

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/23/2020
Last updated
05/23/2022
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