Texarkana Pet/CT Imaging Institute, L.P.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

L05495 Issued in TX

Legal business name

TEXARKANA PET/CT IMAGING INSTITUTE, L.P.

Practice address

1929 Moores LN
Texarkana, TX 75503-4612

Phone

(903) 794-1994

Fax

(903) 794-1996

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Margarita L. Torres

Title

Credentialing

Phone

(504) 459-3220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Brett Eric Barker, M.D.

  • Diagnostic Radiology Physician
  • Texarkana, TX
  • NPI 1609138916
  NPD
• Michael Hill, M.D.

  • Diagnostic Radiology Physician
  • Texarkana, TX
  • NPI 1962403501
  NPD
• Christopher McMillan, M.D.

  • Diagnostic Radiology Physician
  • Texarkana, TX
  • NPI 1578564118
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1053334441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065430",
            "telephone_number": "888-273-3445",
            "fax_number": "504-883-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034612",
            "telephone_number": "903-794-1994",
            "fax_number": "903-794-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA PET/CT IMAGING INSTITUTE, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "504-459-3220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "L05495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194123901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texarkana Ketamine Clinic, PLLC
• Texarkana Mental Health and Wellness Center PLLC
• Texarkana MRI, LP
• Texarkana Nursing & Healthcare
• Texarkana Pain Institute
• Texarkana Professional Christian Counseling
• Texarkana Radiology Associates
• Texarkana Recovery LLC
• Texarkana Regional Counseling Services
• Texarkana Regional Healthcare Network

• Radiology Clinic/Center in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.