OrganizationActive
Collom & Carney Clinic Association
NPI 1992787956 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Texarkana, TX
Provider details
- NPI number
- 1992787956
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pat Roberts, Administrator(903) 614-3601
- License
- 000190 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4800 Texas Blvd
Texarkana, TX 75503-3033
Phone: (903) 614-3600
Fax: (903) 792-0951
Street-level locationGet directions
Mailing address
4800 Texas Blvd
Texarkana, TX 75503-3033
Other names (DBA / former)
- Doing business as
- Texarkana Regional Dialysis Center
Registry dates
- Enumerated
- 2005-11-16
- Last updated
- 2010-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.