Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collom & Carney Clinic Association

Organization Family Medicine Physician · NPI 1619291010

Collom & Carney Clinic Association is a Family Medicine Physician in Wake Village, Texas. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

815 N Kings Hwy
Wake Village, TX 75501-5700
Phone: (903) 614-3700
Fax: (903) 832-7163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1619291010
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCollom & Carney Clinic Association
Authorized official Mary Dwight — Chief Operating Officer · (903) 614-3282
NPI enumeratedMarch 15, 2010
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing address5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766

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