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Organization

COLLOM & CARNEY CLINIC ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E DWIGHT (ASST ADMINISTRATOR OF PATIENT SERV)
(903) 614-3282
Entity
Organization

Contact information

Practice address
4110 RICHMOND PL, TEXARKANA, TX 75503-0001
(903) 831-6312
(903) 838-3613
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
11/02/2010
Last updated
04/26/2011
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