NPIMap

Organization Active NPI

Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Texarkana, TX
National Provider Identifier
1003765371
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Practice address
1002 Texas Blvd Ste 320, 325
Texarkana, TX 75501-5107
Phone
(903) 792-5924
Fax
(903) 792-8224
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Roldan
Title
Ceo
Phone
(903) 234-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1002 Texas Blvd Ste 320, 325
Texarkana, TX 75501-5107

Mailing address

PO Box 2709
Longview, TX 75606-2709

Other names 1

  • Texarkana Care Clinic - Texas Blvd Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260220001946 TX Part A Provider - Federally Qualified Health Center (FQHC) 1355326158 Practice locations: Texarkana, TX

Federally qualified health center certification: CCN 971099

Legal name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Doing business as
TEXARKANA CARE CLINIC - TEXAS BLVD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 10, 2026
Last certification
Feb 10, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1002 Texas Blvd
Ste 320, 325
Texarkana, TX 75501-5118

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Special Health Resources for Texas Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger Gardner Individual Corporate DirectorBoard Member Jun 25, 2019
Briana Asberry Individual Corporate DirectorBoard Secretary Mar 2, 2021
Danny Rivers Individual Corporate DirectorBoard Treasurer May 29, 2018
Pamela Lewis Individual Corporate DirectorBoard Member Jun 30, 2020
Jessica Roldan Individual Corporate OfficerCeo Sep 9, 2024
W-2 Managing EmployeeCeo Sep 9, 2024
Bobby Pierce Individual Corporate OfficerBoard Chair Sep 25, 2018

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Midtown Clinic of TylerTyler, TX, CCN 741903 Federally qualified health center Other Jan 10, 1991
Special Health Resources for Texas, IncorporatedTexarkana, TX, CCN 741905 Federally qualified health center Operational/Managerial Control Jan 10, 1991
All for Kids ClinicTexarkana, AR, CCN 041916 Federally qualified health center Other Jan 4, 2016
Special Health Resources for Texas, IncorporatedLongview, TX, CCN 741936 Federally qualified health center Other Nov 16, 2016
Paris ClinicParis, TX, CCN 741977 Federally qualified health center Other Nov 20, 2017
Tyler Care ClinicTyler, TX, CCN 451017 Federally qualified health center Operational/Managerial Control Jan 10, 1991

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1003765371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2709",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD STE 320, 325",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015107",
            "telephone_number": "903-792-5924",
            "fax_number": "903-792-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ROLDAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-234-0776"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texarkana Care Clinic - Texas Blvd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.