COLLOM & CARNEY CLINIC ASSOCIATION (NPI# 1992787956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992787956 |
| Entity Type | Organization |
| Organization Name | COLLOM & CARNEY CLINIC ASSOCIATION |
| Other Organization Name | TEXARKANA REGIONAL DIALYSIS CENTER |
| Practice Address |
4800 Texas Blvd Texarkana TX 75503-3033 |
| Practice Telephone | 9036143600 |
| Practice Fax Number | 9037920951 |
| Mailing Telephone | 9036143600 |
| Mailing Fax Number | 9037920951 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | MS. PAT ROBERTS (ADMINISTRATOR) |
| Authorized Official Telephone | 9036143601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
000190 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 107721134 | 05 | |
| TX | 087806801 | 05 | |
| OK | 100702210B | 05 |
| Other Name | Type Code |
|---|---|
| Texarkana Regional Dialysis 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 |
| 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 |
| 1235454828 | Collom & Carney Clinic Association | Clinic/Center | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2010-04-07 |
| 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 |
4800 TEXAS BLVD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-3033 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083984082 | Total Renal Care Inc | Clinic/Center | 816 East St, Texarkana, AR 71854-6808 | 2012-01-06 |
| 1871523480 | Collom & Carney Clinic Association | Clinic/Center | 816 East St., Texarkana, AR 71854 | 2006-07-03 |
| 1649549643 | Total Renal Care Inc | Clinic/Center | 5502 Medical Parkway Dr, Texarkana, TX 75503-4623 | 2011-12-20 |
| 1982648267 | Vamana Inc | Clinic/Center | 422 Beech St, Texarkana, AR 71854-5310 | 2006-06-16 |
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| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| 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.