Provider Demographics
NPI:1891839007
Name:TEXOMA REGIONAL BLOOD CENTER
Entity Type:Organization
Organization Name:TEXOMA REGIONAL BLOOD CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MT(ASCP)BB
Authorized Official - Phone:903-893-4314
Mailing Address - Street 1:3911 TEXOMA PKWY
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1925
Mailing Address - Country:US
Mailing Address - Phone:903-893-4314
Mailing Address - Fax:903-893-8628
Practice Address - Street 1:3911 TEXOMA PKWY
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1925
Practice Address - Country:US
Practice Address - Phone:903-893-4314
Practice Address - Fax:903-893-8628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty