Active NPI
Neurosurgical Associates of Texarkana
- Specialist
- Texarkana, TX
National Provider Identifier
1184784951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K1252
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113562002 | Medicaid | AR | |
| 100752110A | Medicaid | OK | |
| 179117500 | Other | US DEPARTMENT OF LABOR | |
| 53713 | Other | CHAMPUS | |
| 91421 | Other | FIRST PYRAMID LIFE | |
| 91421 | Other | AR | BLUE CROSS OF ARKANSAS |
| 00DG35 | Other | INDIGENT HEALTH CARE | |
| 91421 | Other | COLLUM & CARNEY CLINC | |
| 094806902 | Medicaid | TX | |
| 00DG35 | Other | TX | TEXAS BLUE CROSS GP NO# |
| CP4245 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.