# ARK-LA-TEX HEALTH CENTER PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ark-La-Tex Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649237165
- **Authorized official:** JAMES D RAKER DC (CEO)
- **Authorized official phone:** (870) 773-7246

## Contact information

- **Practice address:** 1414 ARKANSAS BLVD, TEXARKANA, AR 71854-1604
- **Practice address phone:** (870) 773-7246
- **Practice address fax:** (870) 772-2568
- **Mailing address:** 1414 ARKANSAS BLVD, TEXARKANA, AR 71854-1604
- **Mailing address phone:** (870) 773-7246
- **Mailing address fax:** (870) 772-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1141 | AR | — |
| 207Q00000X | Family Medicine Physician | N8393 | AR | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | A01334 | AR | — |
| 363LF0000X | Family Nurse Practitioner | AO3679 | AR | — |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 10/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 152398002 | — | AR |