# STATESERV MEDICAL OF TEXAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texarkanna
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982470969
- **Authorized official:** CHRISTOPHER ROODE (COO)
- **Authorized official phone:** (877) 633-7250

## Contact information

- **Practice address:** 115 PLAZA WEST, TEXARKANA, TX 75501
- **Practice address phone:** (214) 960-9175
- **Mailing address:** 1201 SOUTH ALMA SCHOOL ROAD, SUITE 4000, MESA, AZ 85210
- **Mailing address phone:** (877) 633-7250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2023
- **Last updated:** 11/30/2023
