National Provider Identifier Database

COLLOM CARNEY CLINIC ASSOCIATION
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

COLLOM & CARNEY CLINIC ASSOCIATION
1902 MOORES LN
TEXARKANA, TX75503-4610
Phone: 903-792-7515
Fax:
Website:
Specialty Taxonomy Code
* Urology 208800000X
Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for COLLOM & CARNEY CLINIC ASSOCIATION

NPI Number 1700868528
Legal business name
LBN
COLLOM & CARNEY CLINIC ASSOCIATION
Authorized official DANA MORTON - (DIRECTOR CONTRACTING CREDENTIALING)
Entity Organization
Organization subpart Yes
Enumeration date 11/17/2005
Last updated 12/19/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 082240501
  • Other: CU0435 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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