Family Practice of Texarkana PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE OF TEXARKANA PLLC

Doing business as

Texarkana Family Practice PA

Practice address

1408 College Dr
Texarkana, TX 75503-3534

Phone

(903) 794-0515

Fax

(903) 793-8000

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gigi Culberson, CMC, CMIS

Title

Credentialing Manager

Phone

(903) 793-0122

Specialties & licenses 1

Addresses

Other names 1

• TEXARKANA FAMILY PRACTICE PA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Richard Gardial, M.D.

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1639170194
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1417289380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033534",
            "telephone_number": "903-794-0515",
            "fax_number": "903-793-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033534",
            "telephone_number": "903-794-0515",
            "fax_number": "903-793-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF TEXARKANA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "CULBERSON",
        "authorized_official_first_name": "GIGI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "903-793-0122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMC, CMIS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXARKANA FAMILY PRACTICE PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nnamdi McAnthony Ezenyi, PHARMD.
• Family & Sedation Dentistry of Texarkana
• Family Advocacy Center
• Family Care Home Health, Inc.
• Family Medical Group of Texarkana
• Fannin County Hospital Authority (Avir at Citizens Trail)
• Fannin County Hospital Authority (Heritage Plaza Nursing Center)
• Fannin County Hospital Authority (Reunion Plaza Senior Care and Rehabilitation Center)
• Jason Faris, OTR
• Kennedy Brea Faulkenberry

• Family Medicine Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.