Organization Active NPI

Pulmonary & Internal Medicine of Texarkana

  • Pulmonary Disease Physician
  • Texarkana, TX
National Provider Identifier
1588167779
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P1247 Issued in TX
Legal business name
PULMONARY & INTERNAL MEDICINE OF TEXARKANA
Practice address
5730 Summerhill Rd
Texarkana, TX 75503-1635
Phone
(430) 200-5864
Fax
(903) 306-2624
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Gregory Ryan White, MD
Title
Owner
Phone
(430) 200-5864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X P1247 TX Primary

Addresses

Primary practice location

5730 Summerhill Rd
Texarkana, TX 75503-1635

Mailing address

5730 Summerhill Rd
Texarkana, TX 75503-1635
Phone (430) 200-5864

Other practice location 1

5520 Christus Dr Ste A
Texarkana, TX 75503-1670
Phone (430) 200-5864

National Provider Directory

National Provider Directory

Locations

5520 Christus Dr
Ste A
Texarkana, TX 75503
Phone (430) 200-4350

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1588167779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031635",
            "telephone_number": "430-200-5864",
            "fax_number": "903-306-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031635",
            "telephone_number": "430-200-5864",
            "fax_number": "903-306-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Christus Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755031670",
            "country_code": "US",
            "telephone_number": "430-200-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY & INTERNAL MEDICINE OF TEXARKANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "430-200-5864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 2020; 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.