Organization
VAMANA, INC.
Active
Other names
Sage 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
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
Mailing address
901 S WILLIAM ST, ATLANTA, TX 75551-2889
(870) 773-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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