Medical Specialists of Texakrana

NPI #1548226533 in Texarkana, Texas

Provider Information

NPI Number: 1548226533
Entity Type: Organization
Organization Name: Medical Specialists of Texakrana
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL SPECIALISTS OF TEXAKRANA PLLC
Primary Specialty: Specialist
Enumeration Date: Apr 26, 2006
Last Updated: Mar 1, 2010

Practice Location

Address: 1002 TEXAS BLVD
Address 2: STE 201
City: Texarkana
State: Texas
ZIP Code: 75501-5107
Phone: (903) 794-3701

Authorized Official

Name: MRS. PEGGY L FEUTRAL
Title: OFFICE MANAGER
Phone: (903) 794-3701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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