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TEXARKANA, AR
NPI1386214872
Entity TypeOrganization
Authorized ContactSAM ALLEN NIX
President/Fnp
870-621-0080
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2021-06-28
Last Update Date2021-09-29
Business Address
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3809 E 9TH ST STE 15
TEXARKANA, AR 71854-5818
Phone number: 870-621-0080
Mailing Address
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1420 OWL RDG
TEXARKANA, AR 71854-0021
Phone number: 870-621-0080