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CMG FAMILY CLINIC OF TEXARKANA NPI 1255397469


NPI Information

NPI: 1255397469
Provider Name: CMG FAMILY CLINIC OF TEXARKANA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
401 EAST ST
TEXARKANA, AR
ZIP 71854
Phone: (870) 773-2177
Get Directions

CMG FAMILY CLINIC OF TEXARKANA is a family medicine in Texarkana, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CMG FAMILY CLINIC OF TEXARKANA NPI is 1255397469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 EAST ST
TEXARKANA, AR
ZIP 71854-507
Phone: (870) 773-2177
Fax: (870) 773-2758

The provider's authorized official is Donna J Mikulecky .
The authorized official title is Ceo/president and has the following contact phone number (713) 277-2208.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 6/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15F383MEDICARE PINTEXAS
2081267903MEDICAIDTEXAS
3081267904MEDICAIDTEXAS
4127508002MEDICAIDARKANSAS
500215KMEDICARE PINARKANSAS

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: 4/28/2024

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