Organization
TEXARKANA PAIN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB E ABRAHAM MD (MEDICAL DIRECTOR/OWNER)
(501) 655-1335
Entity
Organization
Contact information
Practice address
1010 ARKANSAS BLVD STE 100, TEXARKANA, AR 71854-2204
(501) 655-1335
Mailing address
1 MERCY LN STE 304, HOT SPRINGS, AR 71913-6440
(501) 655-1335
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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