Active NPI
Pathology Services of Texarkana LLP
- Anatomic Pathology & Clinical Pathology Physician
- Texarkana, TX
National Provider Identifier
1851467724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- PATHOLOGY SERVICES OF TEXARKANA LLP
- Practice address
- 1000 Pine Street
Department of Pathology
Texarkana, TX 75501-5100 - Phone
- (903) 792-1331
- Fax
- (903) 793-2332
- NPI assigned
- Nov 24, 2006
- 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
- George W Englis III, MD
- Title
- Managing Partner
- Phone
- (903) 798-7124
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1000 Pine Street
Department of Pathology
Texarkana, TX 75501-5100
Mailing address
1002 Texas Blvd Ste 500
Texarkana, TX 75501-5117
Phone (903) 792-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080055901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1002 Texas Blvd
Ste 500
Texarkana, TX 75501
Phone (903) 792-1331
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Texarkana, TX
- NPI 1316947195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1851467724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 TEXAS BLVD STE 500",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015117",
"telephone_number": "903-792-1331",
"fax_number": "903-792-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PINE STREET",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015100",
"telephone_number": "903-792-1331",
"fax_number": "903-793-2332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY SERVICES OF TEXARKANA LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "ENGLIS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "903-798-7124",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080055901",
"state": "TX"
}
],
"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 Oct 3, 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.