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COLLOM AND CARNEY CLINIC ASSOCIATION NPI 1285616003


NPI Information

NPI: 1285616003
Provider Name: COLLOM AND CARNEY CLINIC ASSOCIATION

Other Name: COLLOM AND CARNEY CLINIC GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
5002 COWHORN CREEK RD
TEXARKANA, TX
ZIP 75503
Phone: (903) 614-3000
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COLLOM AND CARNEY CLINIC ASSOCIATION is a gastroenterology internal medicine in Texarkana, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. COLLOM AND CARNEY CLINIC ASSOCIATION NPI is 1285616003. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Collom And Carney Clinic Gastroenterology.

The provider's business location address is:

5002 COWHORN CREEK RD
TEXARKANA, TX
ZIP 75503
Phone: (903) 614-3000
Fax: (903) 614-3525

The provider's authorized official is Mary E Dwight .
The authorized official title is Chief Operating Officer and has the following contact phone number (903) 614-3282.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 2/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CU0435OTHERTEXASRAILROAD MEDICARE
2082237101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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