Active NPI
Lansdell Family Clinic PLLC
- Family Nurse Practitioner
- Texarkana, TX
National Provider Identifier
1114534252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LANSDELL FAMILY CLINIC PLLC
- Practice address
- 4102 Gibson LN
Texarkana, TX 75503-1120 - Phone
- (903) 255-7923
- Fax
- (866) 282-5926
- NPI assigned
- Sep 23, 2020
- Organization subpart
- Yes
- Parent organization
- LANSDELL FAMILY CLINIC PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Wayne Lansdell
- Title
- Vice President
- Phone
- (870) 584-1053
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
4102 Gibson LN
Texarkana, TX 75503-1120
Mailing address
500 E Collin Raye Dr Ste 2
De Queen, AR 71832-8068
Phone (870) 584-1053
National Provider Directory
National Provider Directory- Part of
- Lansdell Family Clinic PLLC
Locations
500 E Collin Raye Dr
Ste 2
De Queen, AR 71832
Phone (870) 584-1053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1114534252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E COLLIN RAYE DR STE 2",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718328068",
"telephone_number": "870-584-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 GIBSON LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031120",
"telephone_number": "903-255-7923",
"fax_number": "866-282-5926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSDELL FAMILY CLINIC PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LANSDELL FAMILY CLINIC PLLC",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "LANSDELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "870-584-1053"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 23, 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.