institution
Texarkana Family Practice, P.a.
Specialist in Texarkana, Texas
NPI 1962545541

Texarkana Family Practice, P.a. is a Specialist based in Texarkana, TX. Texarkana Family Practice, P.a. practices in Texarkana, TX. The NPI Number for Texarkana Family Practice, P.a. is 1962545541 and holds a License No. K1046 (Texas).

The current practice location address for Texarkana Family Practice, P.a. is 1408 College Dr, Texarkana, TX and can be reached out via phone at 903-794-0515 and via fax at 903-793-8000.

Location: 1408 College Dr, Texarkana, TX, 75503-3534
institution
Provider Profile Details
NPI Number
1962545541
Provider Name
Texarkana Family Practice, P.a.
Credential
Provider Entity Type
Organization
Address
1408 College Dr, Texarkana, TX, 75503-3534
Phone Number
903-794-0515
Fax Number
903-793-8000
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125890001 05 AR
P03228 01 TX NOVASYS
168270000-00 01 TX QUALCHOICE
117004502 05 TX
5J245 01 TX ARKANSAS BLUE CROSS BLUE SHIELD
86Z860 01 TX TEXAS BLUE CROSS BLUE SHIELD
080089119 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1408 College Dr
City
State
Zip
75503-3534
Phone Number
903-794-0515
Fax Number
903-793-8000
person
Provider Business Mailing Address Details
Address
1408 College Dr
City
State
Zip
75503-3534
Phone Number
903-794-0515
Fax Number
903-793-8000
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
K1046 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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