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COLLOM & CARNEY CLINIC ASSOCIATION
NPI 1700100104
Family Medicine in New Boston, TX

Active since March 15, 2010
128 N ELLIS ST, NEW BOSTON, TX 75570(903) 628-1104(903) 628-0104 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

About Collom & Carney Clinic Association NPPES

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

COLLOM & CARNEY CLINIC ASSOCIATION (NPI 1700100104) is a healthcare organization registered as a family medicine in New Boston, 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

NPI1700100104
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLLOM & CARNEY CLINIC ASSOCIATION
Location Address128 N ELLIS STNew Boston, TX 75570-2904
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Phone(903) 628-1104
Fax(903) 628-0104
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 1700100104 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.
128 N ELLIS ST, New Boston, TX 75570
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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 2

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

PAUL A SMITH ANP
Nurse Practitioner (Family)
128 N ELLIS ST
NEW BOSTON, TX 75570
Bowie County (903) 628-1104
COLLOM & CARNEY CLINIC
Durable Medical Equipment & Medical Supplies
128 N ELLIS ST
NEW BOSTON, TX 75570
Bowie County (903) 628-1104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Collom & Carney Clinic Association is 1700100104. It was assigned to this organization in the NPPES registry on March 15, 2010.

Where is Collom & Carney Clinic Association located?

Collom & Carney Clinic Association is located at 128 N Ellis St, New Boston, TX 75570. The listed phone number is (903) 628-1104.

What is Collom & Carney Clinic Association's specialty?

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

When was this NPI record last updated?

The NPPES record for Collom & Carney Clinic Association was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.