Provider Type Icon

ARK-LA-TEX HEALTH CENTER PC NPI 1649237165


NPI Information

NPI: 1649237165
Provider Name: ARK-LA-TEX HEALTH CENTER PC

Doing Business As: ARK-LA-TEX HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0951650

Address:
1414 ARKANSAS BLVD
TEXARKANA, AR
ZIP 71854
Phone: (870) 773-7246
Get Directions

ARK-LA-TEX HEALTH CENTER PC is a family medicine in Texarkana, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ARK-LA-TEX HEALTH CENTER PC NPI is 1649237165. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ark-la-tex Health Center.

The provider's business location address is:

1414 ARKANSAS BLVD
TEXARKANA, AR
ZIP 71854-604
Phone: (870) 773-7246
Fax: (870) 772-2568

The provider's authorized official is James D Raker .
The authorized official title is Ceo and has the following contact phone number (870) 773-7246.

The CLIA number assigned to this NPI record is 04D0951650 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 5/2/2012.


Taxonomy Codes

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1141ARKANSASNo
2363LA2100XNurse PractitionerAcute CareA01334ARKANSASNo
3363LF0000XNurse PractitionerFamilyAO3679ARKANSASNo
4207Q00000XFamily MedicineN8393ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1152398002MEDICAIDARKANSAS
25B438MEDICARE PINARKANSAS

What is NPI?

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.