Southwest Ar Medical Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHWEST AR MEDICAL CLINIC LLC

Practice address

1205 E 35TH St
Texarkana, AR 71854-2746

Phone

(610) 554-3274

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Cassondra Houser, FNPNPI 1376601021

Title

VP

Phone

(610) 554-3274

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cassondra Houser, CRNP

  • Adult Health Nurse Practitioner
  • Texarkana, TX
  • NPI 1376601021
  NPD Authorized official

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1144899873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 NILE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031303",
            "telephone_number": "610-554-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 35TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542746",
            "telephone_number": "610-554-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST AR MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "CASSONDRA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-554-3274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Nekeshia Soils, MHPP
• Anna Marie Solley, CNP
• SE Hee Song
• Sotto International, Inc. (Serenity Care)
• Southern Caregivers of Texarkana, LLC
• Southwest Arkansas Counseling & Mental Health Center
• Southwest Arkansas Counseling & Mental Health Center, Inc
• Southwest Arkansas Counseling and Mental Health Center
• Southwest Arkansas Counseling and Mental Health Center, Inc
• Southwest Arkansas Development Council, Inc.

• Clinic/Center in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.