Organization
COLLOM & CARNEY CLINIC ASSOCIATION
Active
Parent organization
COLLOM & CARNEY CLINIC ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLOM & CARNEY CLINIC ASSOCIATION
Authorized official
MARY E DWIGHT MHA, CCS-P, CMPE (CHIEF OPERATING OFFICER)
(903) 614-3282
Entity
Organization
Contact information
Practice address
815 N KINGS HWY, WAKE VILLAGE, TX 75501-5700
(903) 614-3700
(903) 832-7163
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
02/24/2023
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