Texarkana Women's Clinic PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TEXARKANA WOMEN'S CLINIC PA

Practice address

2604 St Michael Dr
Suite 410
Texarkana, TX 75503

Phone

(903) 614-5430

Fax

(903) 614-5464

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By 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

Vernon C Shaffer Jr., MDNPI 1265419030

Title

President

Phone

(903) 614-5430

Specialties & licenses 1

Addresses

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.

• Vernon C. Shaffer Jr., MD

  • Obstetrics & Gynecology Physician
  • Texarkana, TX
  • NPI 1265419030
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609882943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 ST MICHAEL DR",
            "address_2": "SUITE 410",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "903-614-5430",
            "fax_number": "903-614-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 ST MICHAEL DR",
            "address_2": "SUITE 410",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "903-614-5430",
            "fax_number": "903-614-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA WOMEN'S CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-614-5430",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texarkana Special Education Center, Inc. (Opportunities, Inc.)
• Texarkana Surgery Center LP
• Texarkana Surgical First Assistant PLLC
• Texarkana TX Caregiving LLC
• Texarkana Vision Group PLLC
• Texarkana-Bowie County Family Health Center
• Texarkana-Bowie County Family Health Center
• Texarkana-Bowie County Family Health Center
• Texas Em-1 Medical Services, PA
• Texas Foot & Ankle Institute, PA

• Obstetrics & Gynecology Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.