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TEXARKANA WOMEN'S CLINIC PA NPI 1609882943


NPI Information

NPI: 1609882943
Provider Name: TEXARKANA WOMEN'S CLINIC PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2604 ST MICHAEL DR
SUITE 410
TEXARKANA, TX
ZIP 75503
Phone: (903) 614-5430
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TEXARKANA WOMEN'S CLINIC PA is an obstetrics gynecology in Texarkana, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TEXARKANA WOMEN'S CLINIC PA NPI is 1609882943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2604 ST MICHAEL DR
SUITE 410
TEXARKANA, TX
ZIP 75503
Phone: (903) 614-5430
Fax: (903) 614-5464

The provider's authorized official is Vernon C Shaffer .
The authorized official title is President and has the following contact phone number (903) 614-5430.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/22/2020.


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
1207V00000XObstetrics & GynecologyYes

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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