Organization Active NPI

Texarkana Radiology Associates

  • Specialist
  • Texarkana, TX
National Provider Identifier
1467547430
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TEXARKANA RADIOLOGY ASSOCIATES
Practice address
5508 Summerhill Rd
Texarkana, TX 75503-1822
Phone
(903) 792-1292
Fax
(903) 792-2051
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Jan L Harper
Title
Office Manager
Phone
(903) 792-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5508 Summerhill Rd
Texarkana, TX 75503-1822

Mailing address

PO Box 1325
Indianapolis, IN 46206-1325
Phone (903) 792-1292

Other identifiers 3

IdentifierTypeStateIssuer
CS0492OtherTXRAILROAD MEDICARE
107594002MedicaidAR
112638501MedicaidTX

National Provider Directory

National Provider Directory

Locations

817 Main St
Texarkana, TX 75501
Phone (903) 794-2574

5506 Summerhill Rd
Texarkana, TX 75503

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1467547430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061325",
            "telephone_number": "903-792-1292",
            "fax_number": "903-792-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031822",
            "telephone_number": "903-792-1292",
            "fax_number": "903-792-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-792-1292"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0492",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107594002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112638501",
            "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 Sep 3, 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.