TEXARKANA REGIONAL HEALTHCARE NETWORK NPI 1083858831

NPI Information

TEXARKANA REGIONAL HEALTHCARE NETWORK is a specialist in Texarkana, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TEXARKANA REGIONAL HEALTHCARE NETWORK NPI is 1083858831. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 PINE ST
TEXARKANA, TX
ZIP 75501-100
Phone: (903) 798-7317
Fax: (903) 798-7377

The provider's authorized official is Jonathan A Demke .
The authorized official title is Ceo and has the following contact phone number (615) 467-1072.

The CLIA number assigned to this NPI record is 45D0871300 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 5/5/2015.

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:

Other Identifiers

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

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