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Organization

ADVANCED CARDIOLOGY OF TEXARKANA PA

Active
Other names
Douglas Scott Black, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS SCOTT BLACK MD (OFFICER)
(903) 794-8820
Entity
Organization

Contact information

Practice address
5502 MEDICAL PARKWAY DR, TEXARKANA, TX 75503-4623
(903) 794-8820
Mailing address
5502 MEDICAL PARKWAY DR, TEXARKANA, TX 75503-4623
(903) 794-8820

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
L0033
TX

Other

Enumeration date
03/23/2007
Last updated
02/08/2008
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