Active NPI
Medical Investments of Texarkana LLC
- Diagnostic Radiology Physician
- Texarkana, TX
National Provider Identifier
1346356573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL INVESTMENTS OF TEXARKANA LLC
- Practice address
- 4303 Texas Blvd Ste 8
Texarkana, TX 75503-3094 - Phone
- (479) 968-7930
- Fax
- (479) 968-1673
- NPI assigned
- Aug 21, 2006
- 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
- Rodney Thomason
- Title
- Accounts Manager
- Phone
- (479) 968-7930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4303 Texas Blvd Ste 8
Texarkana, TX 75503-3094
Mailing address
PO Box 9178
Russellville, AR 72811-9178
Phone (479) 968-7930
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154858002 | Medicaid | AR | |
| 167193501 | Medicaid | TX | |
| 0378DC | Other | TX | BCBS OF TEXAS |
National Provider Directory
National Provider DirectoryLocations
4303 Texas Blvd
Ste 8
Texarkana, TX 75503
Phone (903) 792-5471
3702 Summerhill Rd
Texarkana, TX 75503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387238400000",
"number": "1346356573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9178",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728119178",
"telephone_number": "479-968-7930",
"fax_number": "479-968-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 TEXAS BLVD STE 8",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033094",
"telephone_number": "479-968-7930",
"fax_number": "479-968-1673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL INVESTMENTS OF TEXARKANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2013-12-17",
"status": "A",
"authorized_official_last_name": "THOMASON",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "479-968-7930"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154858002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167193501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "0378DC",
"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 Dec 17, 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.