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1568146561
ICARE PRO OF TEXAS ACO BILLING PROFESSIONAL ASSOCIATION
TEXARKANA, TX
NPI
1568146561
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Entity Type
Organization
Authorized Contact
AYASHA THOMASON
Authorized Official
501-831-1168
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-06-12
Last Update Date
2023-06-13
Business Address
ICARE PRO OF TEXAS ACO BILLING PROFESSIONAL ASSOCIATION
4114 MCKNIGHT RD STE C
TEXARKANA, TX 75503-1086
Phone number: 855-498-6767
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Mailing Address
ICARE PRO OF TEXAS ACO BILLING PROFESSIONAL ASSOCIATION
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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