SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED (NPI# 1326460858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326460858 |
| Entity Type | Organization |
| Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED |
| Other Organization Name | TEXARKANA CLINIC |
| Practice Address |
1102 Main St Texarkana TX 75501-4313 |
| Mailing Address |
Po Box 2709 Longview TX 75606-2709 |
| Practice Telephone | 9037925924 |
| Practice Fax Number | 9037928224 |
| Mailing Telephone | 9032340776 |
| Mailing Fax Number | 9032349769 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MR. KIM NESVIG (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9032340776 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TEXARKANA CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661412 | Special Health Resources for Texas Incorporated | Clinic/Center | 1911 Galleria Oaks Dr, Texarkana, TX 75503-4617 | 2018-12-20 |
| 1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
| 1982198057 | Special Health Resources for Texas Incorporated | Clinic/Center | 825 Medical Dr, Tyler, TX 75701-2143 | 2018-06-21 |
| 1750769238 | Special Health Resources for Texas Incorporated | Clinic/Center | 703 E Marshall Ave, Suite 310, Longview, TX 75601-5500 | 2015-05-15 |
| 1609298132 | Special Health Resources for Texas Incorporated | Clinic/Center | 1300 Clinic Dr, Tyler, TX 75701-2119 | 2014-01-17 |
| Street Address |
1102 MAIN ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366824500 | Joshua Nelson Talley | Dentist | 1102 Main St, Texarkana, TX 75501-4313 | 2015-06-24 |
| 1437148624 | Laura Yvonne Smith | Nurse Practitioner | 1102 Main St, Texarkana, TX 75501-4313 | 2005-10-19 |
| 1184610412 | Greater Texarkana People's Clinic, Inc. | Physician Assistant | 1102 Main St, Texarkana, TX 75501-4313 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
| 1831661412 | Special Health Resources for Texas Incorporated | Clinic/Center | 1911 Galleria Oaks Dr, Texarkana, TX 75503-4617 | 2018-12-20 |
| 1942665112 | Special Health Resources for Texas, Inc. | Clinic/Center | 300 E 6th St, Texarkana, AR 71854-5207 | 2015-12-15 |
| 1093186249 | East Texas Border Health Clinic | Clinic/Center | 1205 E 35th St, Texarkana, AR 71854-2746 | 2015-10-14 |
| 1083006084 | East Texas Border Health Clinic | Clinic/Center | 2604 Saint Michael Dr Ste 410, Texarkana, TX 75503-2378 | 2015-02-27 |
| 1053663690 | East Texas Border Health Clinic | Clinic/Center | 1400 College Dr, Texarkana, TX 75503-3536 | 2012-10-05 |
| 1417123258 | Department of Veterans Affairs | Clinic/Center | 910 Realtor Avenue, Texarkana, AR 71854-5066 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.