COLLOM & CARNEY CLINIC ASSOCIATION – NPI #1265414635
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

COLLOM & CARNEY CLINIC ASSOCIATION is a provider located in TEXARKANA, TX. NPPES has assigned the NPI number 1265414635 to COLLOM & CARNEY CLINIC ASSOCIATION on November 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jul 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLOM & CARNEY CLINIC ASSOCIATION below.

NPI Profile for
COLLOM & CARNEY CLINIC ASSOCIATION

NPI Number
1265414635
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLOM & CARNEY CLINIC ASSOCIATION
Primary location
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Phone: (903) 614-3000 Fax: (903) 614-3525
3 Other location(s):
1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone: (903) 614-3000
Fax: (903) 614-3525
1315 S Lynn Ln
Idabel, OK 74745-6845
Phone: (903) 614-3000
Fax: (903) 614-3525
1425 E Lincoln Rd
Idabel, OK 74745-7367
Phone: (903) 614-3000
Fax: (903) 614-3525
Mailing address
Same as primary location
Organization Subpart
Yes - COLLOM & CARNEY CLINIC ASSOCIATION is subpart of another organization.
Authorized Official
MARY DWIGHT
CHIEF OPERATING OFFICER
Phone: (903) 614-3282
Updated
Certification Date
Jul 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COLLOM & CARNEY CLINIC ASSOCIATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICARECU0435
medicaidTX82239701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 TX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.