Cmg Family Clinic Of Texarkana

LBN: Cmg Family Clinic Of Texarkana
Cmg Family Clinic Of Texarkana is an health care organization with primary practice located at 401 East St , Texarkana AR 71854-6507. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cmg Family Clinic Of Texarkana can be contacted via phone (870) 773-2177, or through Mikulecky, Donna J via phone (713) 277-2208.

Contact Information

Primary practice address
401 East St Texarkana AR 71854-6507
Phone: (870) 773-2177
Fax: (870) 773-2758
Website:
Map and Directions
Authorized official contact:
Name: Mikulecky, Donna J
Phone: (713) 277-2208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255397469
LBN Legal business name Cmg Family Clinic Of Texarkana
DBA Doing business as
Authorized official Mikulecky, Donna J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 26th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255397469 NPPES
Texas MEDICAID 081267903
Texas MEDICAID 127508002
Texas MEDICAID 081267904

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