| Stream Health Care Pa | |
|
5503 N State Line Ave Texarkana TX 75503-5303 | |
| (903) 794-7874 | |
| Not Available |
| Full Name | Stream Health Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5503 N State Line Ave, Texarkana, Texas |
| Authorized Official Name and Position | Jennifer L Reaves (DIRECTOR) |
| Authorized Official Contact | 9037947874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stream Health Care Pa 5503 N State Line Ave Texarkana TX 75503-5303 Ph: (903) 794-7874 | Stream Health Care Pa 5503 N State Line Ave Texarkana TX 75503-5303 Ph: (903) 794-7874 |
| NPI Number | 1649720509 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649720509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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