FOUR STATES RETINA PLLC is a retina specialist ophthalmology in Texarkana, TX. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. FOUR STATES RETINA PLLC NPI is 1083580815. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5501 MEDICAL PARKWAY DR TEXARKANA, TX ZIP 75503-624 Phone: (804) 647-2381 Fax: (903) 209-2893
The provider's authorized official is Roshan George . The authorized official title is Owner and has the following contact phone number (804) 647-2381.
The enumeration date for this NPI number is 10/17/2025 and was last updated on 10/17/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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