TEXARKANA PSYCHIATRIC SERVICES PLLC NPI 1770139941

NPI Information

TEXARKANA PSYCHIATRIC SERVICES, PLLC is a psychiatric/mental health nurse practitioner in Texarkana, AR. TEXARKANA PSYCHIATRIC SERVICES, PLLC NPI is 1770139941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2116 N STATE LINE AVE
TEXARKANA, AR
ZIP 71854-583
Phone: (870) 773-1711
Fax: (870) 773-1712

The provider's authorized official is Jody A Barham .
The authorized official title is Owner/apn and has the following contact phone number (870) 773-1711.

The enumeration date for this NPI number is 8/14/2019 and was last updated on 8/14/2019.

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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