Organization
TEXARKANA WOMEN'S CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON C SHAFFER JR. MD (PRESIDENT)
(903) 614-5430
Entity
Organization
Contact information
Practice address
2604 ST MICHAEL DR, SUITE 410, TEXARKANA, TX 75503
(903) 614-5430
(903) 614-5464
Mailing address
2604 ST MICHAEL DR, SUITE 410, TEXARKANA, TX 75503
(903) 614-5430
(903) 614-5464
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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