Individual
MRS. DEANNA MARIE MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 ARKANSAS BLVD, TEXARKANA, AR 71854-2204
(870) 774-7246
Mailing address
710 PHILLIPS LN, TEXARKANA, AR 71854-8994
(903) 277-9523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122782
AR
Other
Enumeration date
04/27/2024
Last updated
09/23/2024
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