COLLOM & CARNEY CLINIC ASSOCIATION
NPI 1013252279
Internal Medicine - Cardiovascular Disease in Texarkana, TX

Q: What is Collom & Carney Clinic Association's NPI number?

The NPI number for Collom & Carney Clinic Association is 1013252279. It was assigned to this organization in the NPPES registry on November 29, 2012.

Q: What is Collom & Carney Clinic Association's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 29, 2012CLIA 45D0659663 · Accreditation

5002 COWHORN CREEK RD, TEXARKANA, TX 75503(903) 614-3000(903) 614-3525 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Oct 1, 2019 (2 updates tracked since 2019).

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About Collom & Carney Clinic Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLOM & CARNEY CLINIC ASSOCIATION (NPI 1013252279) is a healthcare organization registered as a cardiovascular disease in Texarkana, Texas and active in the NPI registry since November 2012. The organization holds an CLIA Accreditation certificate valid through November 6, 2027 and lists Mary E Dwight, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1013252279

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCOLLOM & CARNEY CLINIC ASSOCIATION

Location Address5002 COWHORN CREEK RDTexarkana, TX 75503-9766

Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525

Phone(903) 614-3000

Fax(903) 614-3525

Organization SubpartNo

Authorized OfficialMary E DwightChief Operating Officer · (903) 614-3282

Enumeration DateNovember 29, 2012

Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2023

✔ NPI 1013252279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5002 COWHORN CREEK RD, Texarkana, TX 75503

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0659663

Collom & Carney Clinic Laboratory · Texarkana, TX

Active · expires Nov 6, 2027

CLIA Number45D0659663

Laboratory TypePhysician Office

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorJustin Hardin

Laboratory Phone(903) 614-3071

Laboratory LocationCollom & Carney Clinic Laboratory5002 Cowhorn Creek Rd, Texarkana, TX 75503

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA ANN PARKER FNP

Nurse Practitioner (Family)