COLLOM & CARNEY CLINIC ASSOCIATION (NPI# 1235454828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235454828 |
| Entity Type | Organization |
| Organization Name | COLLOM & CARNEY CLINIC ASSOCIATION |
| Other Organization Name | COLLOM & CARNEY CLINIC SLEEP DISORDER CENTER |
| Practice Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Mailing Address |
2931 Richmond Rd Texarkana TX 75503-2125 |
| Practice Telephone | 9036143000 |
| Practice Fax Number | 9036143525 |
| Mailing Telephone | 9036143200 |
| Mailing Fax Number | 9038387551 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MARY E DWIGHT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9036143282 |
| Authorized Official Credential | MHS, CCS-P, CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLOM & CARNEY CLINIC ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Collom & Carney Clinic Sleep Disorder Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871523480 | Collom & Carney Clinic Association | Clinic/Center | 816 East St., Texarkana, AR 71854 | 2006-07-03 |
| 1578545539 | Collom & Carney Clinic Association | Clinic/Center | 606 Loop 59, Atlanta, TX 75551-1510 | 2005-11-16 |
| 1992787956 | Collom & Carney Clinic Association | Clinic/Center | 4800 Texas Blvd, Texarkana, TX 75503-3033 | 2005-11-16 |
| 1609858679 | Collom & Carney Clinic Association | Clinic/Center | 1803 S Laurel St, Hope, AR 71801-8219 | 2005-11-16 |
| 1134101108 | Collom & Carney Clinic Association | Clinic/Center | 225 N. Dudney Rd, Magnolia, AR 71753-3110 | 2005-11-16 |
| 1013252279 | Collom & Carney Clinic Association | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2012-11-29 |
| 1225384977 | Collom & Carney Clinic Association | Internal Medicine | 2014 Galleria Oaks Dr, Texarkana, TX 75503-4620 | 2012-07-31 |
| 1629378963 | Collom & Carney Clinic Association | Family Medicine | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2010-11-02 |
| 1619291010 | Collom & Carney Clinic Association | Family Medicine | 815 N Kings Hwy, Wake Village, TX 75501-5700 | 2010-03-15 |
| 1447574843 | Collom & Carney Clinic Association | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503-2125 | 2010-03-15 |
| Street Address |
5002 COWHORN CREEK RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-9766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255229 | Jeffrey David Decaprio | Surgery | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-06-17 |
| 1225681604 | Lauren N. Hadaway | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-24 |
| 1144872839 | Brandi M. Martin | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2019-07-12 |
| 1093292104 | Heidi R Smith | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-07-20 |
| 1194215814 | Angela L Bowen | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-05-17 |
| 1689174955 | Cody C Ray | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2018-02-13 |
| 1699282087 | Melissa Ann Lamon | Registered Nurse | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2018-01-07 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| 1316478852 | Schamma Salomon | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-03-26 |
| 1346781325 | Melissa Elizabeth Redfearn | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215005 | Ark-la-tex Sleep Disorders Lab | Clinic/Center | 5604 Summerhill Rd Ste 5, Texarkana, TX 75503-4652 | 2006-10-27 |
| 1134305568 | Ark-la-tex Sleep Center, LLP | Clinic/Center | 5604 Summerhill Rd, #5, Texarkana, TX 75503 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345237 | Sleep Specialties, LLC | Clinic/Center | 2200 Physicians Blvd Ste B, Ennis, TX 75119-6248 | 2020-10-29 |
| 1841815461 | Sleep Associates of America LLC | Clinic/Center | 5508 Parkcrest Dr Ste 200, Austin, TX 78731-4929 | 2020-06-09 |
| 1326669136 | Well Rested Diagnostics | Clinic/Center | 3310 Katy Fwy Ste 390, Houston, TX 77007-3603 | 2020-05-03 |
| 1164042784 | Dallas County Hospital District | Clinic/Center | 1341 W Mockingbird Ln Ste 300e, Dallas, TX 75247-4935 | 2020-04-23 |
| 1093351140 | Neuro-sleep Solutions LLC | Clinic/Center | 2710 Mangum Road, Building 2, Houston, TX 77092 | 2019-11-25 |
| 1992341432 | Renuyou Sleep and Wellness LLC | Clinic/Center | 401 W Fairmont Pkwy Ste F, La Porte, TX 77571-6314 | 2019-11-19 |
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1508409707 | Gulf Coast Sleep Center and Diagnostics LLC | Clinic/Center | 107 W Way St Ste 19, Lake Jackson, TX 77566-5238 | 2019-10-21 |
| 1124595673 | Fantastic Sleep Studies Solutions & Supplies, LLC | Clinic/Center | 18911 Hardy Oak Blvd Ste 229, San Antonio, TX 78258-4967 | 2018-11-01 |
| 1104393586 | James M Andry Md Pa | Clinic/Center | 19222 Stonehue Ste 105a, San Antonio, TX 78258-3453 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.