TXK Clinic LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

TXK CLINIC LLC

Doing business as

Texarkana Pain Management Center

Practice address

4100 Summerhill Rd
Texarkana, TX 75503-2732

Phone

(903) 794-7246

Fax

(903) 794-0374

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Paul Crouch, MBA

Title

Administrator

Phone

(903) 794-7246

Specialties & licenses 1

Addresses

Other names 1

• TEXARKANA PAIN MANAGEMENT CENTER Doing business as

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1902955099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-794-7246",
            "fax_number": "903-794-0374"
        },
        {
            "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": "903-794-7246",
            "fax_number": "903-794-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TXK CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-794-7246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXARKANA PAIN MANAGEMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twin Rivers Respiratory Care, Inc (AeroCare Home Medical)
• Txar 501a Corporation
• Txar 501a Corporation
• TXK Chiropractic
• TXK Chiropractic Corp.
• Union Emergency Physicians, PLLC
• Tamara Nicole Upchurch, AGPCNP-BC
• Urology Associates of Texarkana, PA
• Urology Surgery Center of Texarkana (Specialty Day Surgery Center)
• Kashetu Usman, PHARMD

• Pain Clinic/Center in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.