| Texarkana Clinic | |
|
1102 Main St Texarkana TX 75501-4313 | |
| (903) 792-5924 | |
| (903) 792-8224 |
| Full Name | Texarkana Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 Main St, Texarkana, Texas |
| Authorized Official Name and Position | Shaun'ta Whitehead (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9032127395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texarkana Clinic Po Box 2709 Longview TX 75606-2709 Ph: (903) 234-0776 | Texarkana Clinic 1102 Main St Texarkana TX 75501-4313 Ph: (903) 792-5924 |
| NPI Number | 1326460858 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 1355326158 |
|---|---|
| Medicare Enrollment ID | O20151027002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326460858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Express Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Summerhill Rd, Texarkana, TX 75503 Phone: 903-223-5931 Fax: 903-223-5930 | |
Genesis Primecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Genesisprimecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Trimuph Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503 Phone: 903-793-7994 Fax: 903-793-7996 | |
Hygeia At Delphi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Lawson Cir, Texarkana, TX 75503 Phone: 903-556-9317 | |
Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 | |
Ranga Balasekaran Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd Ste 401, Texarkana, TX 75501 Phone: 903-792-4146 Fax: 903-792-0586 |