DEPARTMENT OF VETERANS AFFAIRS

NPI # 

Practice Address:

910 Realtor Avenue

Texarkana, AR, 71854-5066

Practice Phone:

870-824-4181

License Number:

L29493

License State:

AR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X