NPIMap

Individual provider Active NPI

Phillip Pace, M.D.

  • Family Medicine Physician
  • Texarkana, TX
National Provider Identifier
1194086926
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9660 Issued in TX
Practice address
3502 Richmond Rd
Texarkana, TX 75503-0705
Phone
(903) 614-5270
Fax
(903) 614-5279
NPI assigned
Jun 7, 2012
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9660 TX Primary
Family Medicine Physician 207Q00000X E-8551 AR

Addresses

Primary practice location

3502 Richmond Rd
Texarkana, TX 75503-0705

Mailing address

2900 Saint Michael Dr Ste 401
Texarkana, TX 75503-5211
Phone (903) 614-5367

Other practice location 1

300 E 6th St
Texarkana, AR 71854-5207
Phone (870) 779-6000

Other identifiers 4

IdentifierTypeStateIssuer
200905210AMedicaidOK
204130001MedicaidAR
1G2546OtherTXMEDICARE
399170501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140612001127 AR Practitioner - Family PracticePractitioner - Emergency Medicine 4183848138 Reassigns benefits to 2 organizations
I20190523000868 TX Practitioner - Family Practice 4183848138 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

18780 Interstate 20 N Access Rd
Canton, TX 75103-3593
Phone (903) 567-7748

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

3502 Richmond Rd
Texarkana, TX 75503-0705
Phone (903) 614-5270

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 Davey Crockett Dr
Suite 500
New Boston, TX 75570-2336
Phone (903) 614-5951

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-8551ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Emergency Physicians, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Nov 1, 2014 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jul 1, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2020 Accepting new patients
Mother Frances Hospital Regional Health Care Center PastSince Feb 17, 2026 Accepting new patients

Locations

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

3502 Richmond Rd
Texarkana, TX 75503
Phone (903) 223-9911

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: ppace226137@christushealth.direct-ci.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1194086926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SAINT MICHAEL DR STE 401",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035211",
            "telephone_number": "903-614-5367",
            "fax_number": "903-614-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030705",
            "telephone_number": "903-614-5270",
            "fax_number": "903-614-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718545207",
            "country_code": "US",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9660",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200905210A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204130001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1G2546",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399170501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.