Collom & Carney Clinic Association

NPI #1629378963 in Texarkana, Texas

Provider Information

NPI Number: 1629378963
Entity Type: Organization
Organization Name: Collom & Carney Clinic Association
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2010
Last Updated: Apr 26, 2011

Practice Location

Address: 4110 RICHMOND PL
City: Texarkana
State: Texas
ZIP Code: 75503-0001
Phone: (903) 831-6312

Authorized Official

Name: MARY E DWIGHT
Title: ASST ADMINISTRATOR OF PATIENT SERV
Phone: (903) 614-3282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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