Organization · Type 2 NPI
Shreveport Vamc
VA Clinic/Center · Texarkana, TX
NPI number
1417996489
Active
Practice location
5701 Summerhill Rd
Texarkana, TX 75503-1634
Mailing address
PO Box 94538
Cleveland, OH 44101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
5 other providers at this address
- Johnia Kay Kyles, NPFamily Nurse Practitioner Texarkana, TX NPI 1336314731
- Mary Amanda Fitzgerald, MDInternal Medicine Physician Texarkana, TX NPI 1730152000
- Olivia Ann Johnson, LCSWClinical Social Worker Texarkana, TX NPI 1912044207
- Robert G. Buls, PharmDPharmacist Texarkana, TX NPI 1659388205
- Syed A. Mazher, MDInternal Medicine Physician Texarkana, TX NPI 1467458356
About NPI 1417996489
Shreveport Vamc's National Provider Identifier is 1417996489, issued on Jun 5, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Texarkana, TX. The record was last updated on Aug 11, 2022.