Organization Active NPI

Neurosurgical Associates of Texarkana

  • Specialist
  • Texarkana, TX
National Provider Identifier
1184784951
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K1252 Issued in TX
Legal business name
NEUROSURGICAL ASSOCIATES OF TEXARKANA
Practice address
1002 Texas Blvd
Suite 406
Texarkana, TX 75501-5113
Phone
(903) 794-4196
Fax
(903) 792-7408
NPI assigned
Dec 11, 2006
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Mr. Bill Curtis
Title
Practice Administrator
Phone
(903) 794-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K1252 TX Primary

Addresses

Primary practice location

1002 Texas Blvd
Suite 406
Texarkana, TX 75501-5113

Mailing address

PO Box 9600
Dept 09-019
Texarkana, TX 75505-9600
Phone (903) 794-4196

Other identifiers 11

IdentifierTypeStateIssuer
113562002MedicaidAR
100752110AMedicaidOK
179117500OtherUS DEPARTMENT OF LABOR
53713OtherCHAMPUS
91421OtherFIRST PYRAMID LIFE
91421OtherARBLUE CROSS OF ARKANSAS
00DG35OtherINDIGENT HEALTH CARE
91421OtherCOLLUM & CARNEY CLINC
094806902MedicaidTX
00DG35OtherTXTEXAS BLUE CROSS GP NO#
CP4245OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1002 Texas Blvd
Ste 406
Texarkana, TX 75501
Phone (903) 794-4196

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1184784951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9600",
            "address_2": "DEPT 09-019",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755059600",
            "telephone_number": "903-794-4196",
            "fax_number": "903-792-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD",
            "address_2": "SUITE 406",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015113",
            "telephone_number": "903-794-4196",
            "fax_number": "903-792-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF TEXARKANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-794-4196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113562002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100752110A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "179117500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "53713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PYRAMID LIFE",
            "identifier": "91421",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ARKANSAS",
            "identifier": "91421",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIGENT HEALTH CARE",
            "identifier": "00DG35",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLUM & CARNEY CLINC",
            "identifier": "91421",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094806902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BLUE CROSS GP NO#",
            "identifier": "00DG35",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP4245",
            "state": "TX"
        }
    ],
    "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 May 1, 2013; 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.