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MIDSOUTH TRANSITIONS MEDICAL GROUP NPI 1790262681


NPI Information

NPI: 1790262681
Provider Name: MIDSOUTH TRANSITIONS MEDICAL GROUP

Doing Business As: MIDSOUTH TRANSITIONS MEDICAL GROUP

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5904 SUMMERFIELD DR
TEXARKANA, TX
ZIP 75503
Phone: (430) 200-4350
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MIDSOUTH TRANSITIONS MEDICAL GROUP is a geriatric medicine internal medicine in Texarkana, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MIDSOUTH TRANSITIONS MEDICAL GROUP NPI is 1790262681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Midsouth Transitions Medical Group.

The provider's business location address is:

5904 SUMMERFIELD DR
TEXARKANA, TX
ZIP 75503-306
Phone: (430) 200-4350
Fax: (866) 337-1615

The provider's authorized official is Coy Williamson .
The authorized official title is President and has the following contact phone number (903) 733-3729.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 11/14/2023.


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
1363LF0000XNurse PractitionerFamilyNo
2208100000XPhysical Medicine & RehabilitationNo
3208D00000XGeneral PracticeNo
4251E00000XHome HealthNo
5251F00000XHome InfusionNo
6363LA2200XNurse PractitionerAdult HealthAP115441TEXASNo
7133V00000XDietitian, RegisteredNo
8207P00000XEmergency MedicineNo
9207QG0300XFamily MedicineGeriatric MedicineNo
10207RG0300XInternal MedicineGeriatric MedicineYes

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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