Organization · NPI-2

Ark-La-Tex Health Center PC

Family Medicine · Texarkana, AR

NPI number1649237165
StatusActive
Last updated in NPPESOct 1, 2024

Details

NPI
1649237165
Entity type
Organization (NPI-2)
Legal business name
Ark-La-Tex Health Center PC
Organization subpart
No
Enumeration date
Apr 27, 2006
Certification date
Oct 1, 2024
Last updated
Oct 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineN8393ARYes
111N00000X Chiropractor1141AR
363LA2100X Nurse Practitioner, Acute CareA01334AR
363LF0000X Nurse Practitioner, FamilyAO3679AR

Other names

  • Ark-La-Tex Health Center (Doing Business As)

Practice location

1414 Arkansas Blvd
Texarkana, AR 71854-1604

Phone 870-773-7246 · Fax 870-772-2568

Mailing address

1414 Arkansas Blvd
Texarkana, AR 71854-1604

Phone 870-773-7246 · Fax 870-772-2568

Authorized official

James D Raker
Ceo
8707737246

Is something wrong?

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