Texarkana Kidney Disease & Hypertension Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.

Practice address

1309A W 1St St N
Prescott, AR 71857-3315

Phone

(870) 887-0094

Fax

(870) 772-7692

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

D. Michael Blankenship, M.D.

Title

President

Phone

(870) 773-1111

Specialties & licenses 1

Addresses

Other names 1

• Prescott Dialysis Other name

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1659432201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 BEECH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545310",
            "telephone_number": "870-773-1111",
            "fax_number": "870-772-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309A W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573315",
            "telephone_number": "870-887-0094",
            "fax_number": "870-772-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-773-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Dialysis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Super D Drug Acquisition Co. (Holly's Health Mart #23)
• Tba Texarkana LLC (Vista Health Texarkana (Prescott Rspmi))
• Tba Texarkana LLC (Vista Health Texarkana (Prescott GRP))
• Audie M. Teague, O.D.
• Texarkana Behavioral Associates, L.C. (Riverview Behavioral Health Outpatient Program)
• Sheila Ann Thornton
• Sage Vermont Thurlby, M.D.
• Brandy Ann Tidwell, LPN
• Andrea L Toliver-Smith
• Marsha Juanita Townsend, RN

• Specialist in Prescott, AR
• Providers in Prescott, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.