Active NPI
Texarkana Senior Care Clinic PLLC
- Geriatric Medicine (Family Medicine) Physician
- Texarkana, TX
National Provider Identifier
1609443829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- TEXARKANA SENIOR CARE CLINIC PLLC
- Practice address
- 4321 McKnight Rd
Texarkana, TX 75503-0929 - Phone
- (903) 716-8808
- Fax
- (903) 716-8799
- NPI assigned
- Jun 7, 2021
- 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
- Andrea K Heflin, CERTIFIED NURSE PRAC
- Title
- Member
- Phone
- (903) 716-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
4321 McKnight Rd
Texarkana, TX 75503-0929
Mailing address
4321 McKnight Rd
Texarkana, TX 75503-0929
Phone (903) 716-8808
Other practice location 1
5902 Summerfield Dr Ste A
Texarkana, TX 75503-4307
Phone (903) 716-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210818004035 | TX | Part B Supplier - Clinic/Group Practice | 4688079320 | Practice locations: Texarkana, TX |
National Provider Directory
National Provider DirectoryLocations
5902 Summerfield Dr
Ste A
Texarkana, TX 75503
Phone (903) 716-8808
Interoperability endpoints
- https://api.platform.athenahealth.com/24317/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1609443829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030929",
"telephone_number": "903-716-8808",
"fax_number": "903-716-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030929",
"telephone_number": "903-716-8808",
"fax_number": "903-716-8799"
}
],
"practiceLocations": [
{
"address_1": "5902 Summerfield Dr Ste A",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755034307",
"country_code": "US",
"telephone_number": "903-716-8808",
"fax_number": "903-716-8799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TEXARKANA SENIOR CARE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "HEFLIN",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "903-716-8808",
"authorized_official_credential": "CERTIFIED NURSE PRAC"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
- Texarkana Radiology Associates
- Texarkana Recovery LLC
- Texarkana Regional Counseling Services (Behavioral Health Center of Texarkana)
- Texarkana Regional Healthcare Network
- Texarkana Sedation LLC
- Texarkana Special Education Center, Inc. (Opportunities, Inc.)
- Texarkana Surgery Center LP
- Texarkana Surgical First Assistant PLLC
- Texarkana TX Caregiving LLC
- Texarkana Vision Group PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.