TEXARKANA NURSING & HEALTHCARE NPI 1063469674

NPI Information

NPI: 1063469674
Provider Name: TEXARKANA NURSING & HEALTHCARE
Classification: Clinical Nurse Specialist - 364SL0600X
Entity Type: Organization

Specialization: Long-Term Care

Address:
4920 ELIZABETH ST
TEXARKANA, TX
ZIP 75503
Phone: (903) 792-3812
Get Directions

TEXARKANA NURSING & HEALTHCARE is a long-term care clinical nurse specialist in Texarkana, TX. TEXARKANA NURSING & HEALTHCARE NPI is 1063469674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4920 ELIZABETH ST
TEXARKANA, TX
ZIP 75503-912
Phone: (903) 792-3812
Fax: (903) 792-9661

The provider's authorized official is Ann Ellisor .
The authorized official title is Administrator Owner and has the following contact phone number (903) 792-3812.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 2/29/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SL0600X	Clinical Nurse Specialist	Long-Term Care	115026	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	675966	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	001001090	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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