COLLOM & CARNEY CLINIC ASSOCIATION
NPI 1619291010
Family Medicine in Wake Village, TX

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

The NPI number for Collom & Carney Clinic Association is 1619291010. It was assigned to this organization in the NPPES registry on March 15, 2010.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 15, 2010

815 N KINGS HWY, WAKE VILLAGE, TX 75501(903) 614-3700(903) 832-7163 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2023, Oct 2, 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 1619291010) is a healthcare organization registered as a family medicine in Wake Village, Texas and active in the NPI registry since March 2010. The organization lists Mary E Dwight, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1619291010

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLLOM & CARNEY CLINIC ASSOCIATION

Location Address815 N KINGS HWYWake Village, TX 75501-5700

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

Phone(903) 614-3700

Fax(903) 832-7163

Organization SubpartYes

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

Enumeration DateMarch 15, 2010

Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2023

✔ NPI 1619291010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

815 N KINGS HWY, Wake Village, TX 75501

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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

Other Providers at the Same Location NPPES 6

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

RICHARD L TYLER MD

Family Medicine