Collom & Carney Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLLOM & CARNEY CLINIC

Practice address

5402 Summerhill Rd
Texarkana, TX 75503-4607

Phone

(903) 614-3937

Fax

(903) 792-5534

NPI assigned

Nov 15, 2005

Organization subpart

Yes

Parent organization

COLLOM & CARNEY CLINICAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary E Dwight, CCS-P, MHA, CMPE

Title

Chief Operating Officer

Phone

(903) 614-3282

Specialties & licenses 1

Addresses

Other names 1

• Collom & Carney Clinic Optical Shop Other name

Part of

Nashville Dialysis Unit

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Collom & Carney Clinic

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, TX
  • NPI 1437455565
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1114909223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3002",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034607",
            "telephone_number": "903-614-3937",
            "fax_number": "903-792-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLOM & CARNEY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLOM & CARNEY CLINIC",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "DWIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "903-614-3282",
        "authorized_official_credential": "CCS-P, MHA, CMPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collom & Carney Clinic Optical Shop",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Collom & Carney Clinic Optical Shop",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Milinda Lynn Coker, NACMA
• Sharhonda Colbert, FNP-C
• Johnny M Colley, MD
• Dylan Collins
• Rita D Collins, ACNP, APRN
• Collom & Carney Clinic
• Collom & Carney Clinic
• Collom & Carney Clinic Association
• Collom & Carney Clinic Association
• Collom & Carney Clinic Association

• Durable Medical Equipment & Medical Supplies in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.