Organization Active NPI

Gynecologic Specialists of Texarkana LLP

  • Gynecology Physician
  • Texarkana, TX
National Provider Identifier
1073599874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
F1615 Issued in TX
Legal business name
GYNECOLOGIC SPECIALISTS OF TEXARKANA LLP
Practice address
1114 Ilove Street
Suite B
Texarkana, TX 75501-5226
Phone
(903) 792-6944
Fax
(903) 792-6213
NPI assigned
Dec 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen R Brown, MDNPI 1710986930
Title
Partner
Phone
(903) 792-6944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G6478 TX
Gynecology Physician 207VG0400X F1615 TX Primary

Addresses

Primary practice location

1114 Ilove Street
Suite B
Texarkana, TX 75501-5226

Mailing address

1114 Olive Street
Suite B
Texarkana, TX 75501-5226
Phone (903) 792-6944

Other names 1

  • Limited Liability Partnership Other name

National Provider Directory

National Provider Directory

Locations

1114 Olive St
Texarkana, TX 75501
Phone (903) 792-6944

1114 Olive St
Ste B
Texarkana, TX 75501

2006 Moores Ln
Ste B
Texarkana, TX 75503
Phone (903) 792-6944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073599874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 OLIVE STREET",
            "address_2": "SUITE B",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015226",
            "telephone_number": "903-792-6944",
            "fax_number": "903-792-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 ILOVE STREET",
            "address_2": "SUITE B",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015226",
            "telephone_number": "903-792-6944",
            "fax_number": "903-792-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC SPECIALISTS OF TEXARKANA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-792-6944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G6478",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limited Liability Partnership",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.