| Samaritan Integrative Services, Llc | |
|
5501 Medical Parkway Dr Texarkana TX 75503-4624 | |
| (903) 794-1636 | |
| Not Available |
| Full Name | Samaritan Integrative Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5501 Medical Parkway Dr, Texarkana, Texas |
| Authorized Official Name and Position | Delisa Brooks (CO-OWNER) |
| Authorized Official Contact | 9032696466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Integrative Services, Llc 5501 Medical Parkway Dr Texarkana TX 75503-4624 Ph: () - | Samaritan Integrative Services, Llc 5501 Medical Parkway Dr Texarkana TX 75503-4624 Ph: (903) 794-1636 |
| NPI Number | 1508472655 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 5496162109 |
|---|---|
| Medicare Enrollment ID | O20210325000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508472655 | NPI | - | NPPES |
| Provider Name | Robert C Strayhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023178043 PECOS PAC ID: 7810980828 Enrollment ID: I20040817000043 |
| Provider Name | Shalunda R Sasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710312285 PECOS PAC ID: 0244463396 Enrollment ID: I20140425001620 |
| Provider Name | Delisa Lynn Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841625308 PECOS PAC ID: 2264661651 Enrollment ID: I20140520000542 |
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