Four States Retina PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

FOUR STATES RETINA PLLC

Practice address

5501 Medical Parkway Dr
Texarkana, TX 75503-4624

Phone

(804) 647-2381

Fax

(903) 204-7745

NPI assigned

Oct 17, 2025

Last updated

Feb 19, 2026By 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

Roshan George, MDNPI 1255751442

Title

Owner

Phone

(903) 204-7642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Roshan Thomas George, MD

  • Retina Specialist (Ophthalmology) Physician
  • Texarkana, TX
  • NPI 1255751442
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1083580815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 MEDICAL PARKWAY DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034624",
            "telephone_number": "903-204-7642",
            "fax_number": "903-204-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 MEDICAL PARKWAY DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034624",
            "telephone_number": "804-647-2381",
            "fax_number": "903-204-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STATES RETINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-204-7642",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Townsend Foster, PT
• Kaleigh Kristin Foster, FNP-C
• Warren Chris Foster, PT
• Franklin Foukou, PHARMD
• Four States Emergency Physicians
• Fowler Optical Inc
• Littleton Augustus Fowler Sr., O.D.
• Laura E Frachiseur, COTA
• Faith Erin Frank, DPT
• Hayden H Franks, M.D.

• Retina Specialist (Ophthalmology) Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Retina Specialist (Ophthalmology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.