Organization Active NPI

Anesthesiology Associates of Texarkana PA

  • Anesthesiology Physician
  • Texarkana, TX
National Provider Identifier
1790101384
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIOLOGY ASSOCIATES OF TEXARKANA PA
Practice address
4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone
(903) 735-9802
NPI assigned
Mar 6, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bryan Benbow, M.D.NPI 1790783165
Title
Officer
Phone
(903) 735-9802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

4100 Summerhill Rd
Texarkana, TX 75503-2732

Mailing address

PO Box 6228
Texarkana, TX 75505-6228
Phone (903) 735-9802

National Provider Directory

National Provider Directory

Locations

4100 Summerhill Rd
Texarkana, TX 75503
Phone (903) 277-1676

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790101384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6228",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755056228",
            "telephone_number": "903-735-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-735-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY ASSOCIATES OF TEXARKANA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENBOW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "903-735-9802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "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 Jul 21, 2022; 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.