Stream Health Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STREAM HEALTH CARE PA

Practice address

5503 N State Line Ave
Texarkana, TX 75503-5303

Phone

(903) 794-7874

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer L Reaves

Title

Director

Phone

(903) 794-7874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1649720509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035303",
            "telephone_number": "903-794-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035303",
            "telephone_number": "903-794-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 N Watters Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750135212",
            "country_code": "US",
            "telephone_number": "972-908-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STREAM HEALTH CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-794-7874"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Stewart
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• Dawn Strain, FNP
• John Michael Strayhorn, MD
• Krystal Strickland, DRIVER
• Beverly Jean Stuart, PA-C
• Roy L Sturdivant, CRNA
• Wendy Suen-Lee, PHARM. D.
• Sean M. Summers, OD

• 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 Dec 19, 2024; 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.