Texarkana Nursing & Healthcare

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

115026 Issued in TX

Legal business name

TEXARKANA NURSING & HEALTHCARE

Practice address

4920 Elizabeth St
Texarkana, TX 75503-2912

Phone

(903) 792-3812

Fax

(903) 792-9661

NPI assigned

May 28, 2006

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Ellisor

Title

Administrator Owner

Phone

(903) 792-3812

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1063469674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ELIZABETH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032912",
            "telephone_number": "903-792-3812",
            "fax_number": "903-792-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ELIZABETH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032912",
            "telephone_number": "903-792-3812",
            "fax_number": "903-792-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA NURSING & HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "ELLISOR",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "903-792-3812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "TX",
            "license": "115026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texarkana Internal Medicine Association PA
• Texarkana Ip, PLLC
• Texarkana Ketamine Clinic, PLLC (Transformative Wellness)
• Texarkana Mental Health and Wellness Center PLLC
• Texarkana MRI, LP
• Texarkana Pain Institute
• Texarkana Pet/CT Imaging Institute, L.P.
• Texarkana Professional Christian Counseling
• Texarkana Radiology Associates
• Texarkana Recovery LLC

• Clinical Nurse Specialist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.