COLLOM & CARNEY CLINIC ASSOCIATION; NPI #1265414635

Contact Information

COLLOM & CARNEY CLINIC ASSOCIATION

5002 COWHORN CREEK RD
TEXARKANA, TX 75503

Phone: 903-614-3000
Fax: 903-614-3525
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nephrology	207RN0300X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for COLLOM & CARNEY CLINIC ASSOCIATION

NPI Number 1265414635

LBN Legal business name COLLOM & CARNEY CLINIC ASSOCIATION

Authorized official MARY DWIGHT - (CHIEF OPERATING OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/18/2005

Last updated 07/01/2025 - About 11 months ago

Identifiers

TX	Medicaid	82239701
	Other	CU0435	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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