Organization Active NPI

Pallicare Health, PLLC

  • Community Health Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1154031458
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
PALLICARE HEALTH, PLLC
Practice address
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone
(972) 632-9642
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Jonathan Fluhart
Title
Ceo
Phone
(972) 632-9642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

5803 Stoneridge Dr
Texarkana, TX 75503-1461

Mailing address

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (972) 632-9642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1154031458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "972-632-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "972-632-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLICARE HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "FLUHART",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-632-9642"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 29, 2022; 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.