Organization Active NPI

Texarkana Family Practice, P.a.

  • Specialist
  • Texarkana, TX
National Provider Identifier
1962545541
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K1046 Issued in TX
Legal business name
TEXARKANA FAMILY PRACTICE, P.A.
Practice address
1408 College Dr
Texarkana, TX 75503-3534
Phone
(903) 794-0515
Fax
(903) 793-8000
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Paul D Sarna, M.D.
Title
Owner
Phone
(903) 794-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K1046 TX Primary

Addresses

Primary practice location

1408 College Dr
Texarkana, TX 75503-3534

Mailing address

1408 College Dr
Texarkana, TX 75503-3534
Phone (903) 794-0515

Other identifiers 7

IdentifierTypeStateIssuer
125890001MedicaidAR
P03228OtherTXNOVASYS
168270000-00OtherTXQUALCHOICE
117004502MedicaidTX
5J245OtherTXARKANSAS BLUE CROSS BLUE SHIELD
86Z860OtherTXTEXAS BLUE CROSS BLUE SHIELD
080089119OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1962545541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033534",
            "telephone_number": "903-794-0515",
            "fax_number": "903-793-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033534",
            "telephone_number": "903-794-0515",
            "fax_number": "903-793-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SARNA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-794-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125890001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVASYS",
            "identifier": "P03228",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "168270000-00",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117004502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "5J245",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BLUE CROSS BLUE SHIELD",
            "identifier": "86Z860",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080089119",
            "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 Apr 22, 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.