Organization
VAMANA, INC.
Active
Other names
Tiamo Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MICHAEL BLANKENSHIP M.D. (PRESIDENT)
(870) 773-1111
Entity
Organization
Contact information
Practice address
1506 E LINCOLN RD, IDABEL, OK 74745-7349
(870) 773-1111
(870) 772-1654
Mailing address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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